|Table of Contents|

Diagnosis and treatment of primary hepatocellular cancer with bile duct tumor thrombis in bile duct：A report of 19 cases

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2017 01
Page:
73-76
Research Field:
Publishing date:

Info

Title:
Diagnosis and treatment of primary hepatocellular cancer with bile duct tumor thrombis in bile duct：A report of 19 cases
Author(s):
Wang Kun
Department of Laparoscopic Surgery,The First People's Hospital of Shangqiu City,Henan Shangqiu 476100，China.
Keywords:
hepatocellular carcinoma; bile duct tumor thrombi; diagnosis; treatment
PACS:
R735.7；R735.8
DOI:
10.3969/j.issn.1672-4992.2017.01.020
Abstract:
Objective：To investigate the diagnosis of hepatocellular carcinoma (HCC） with tumor thrombus in bile duct (BDT） and explore the best treatment．Methods：Retrospective study was performed in 19 patients underwent surgical treatment for HCC with biliry tumor thrombi.The diagnosis，diagnostic errors and treatment effectiveness were analyzed．Treatments included resection of HCC with BDT，cholangiotomy with BDT resection，and biliary tract prosthesis drainage.Results：Hepatectomy with removal of biliary tumor thrombi was performed in 7 patients，the average survival time was over 3 years，one patient survived over 5 years．The average survival time of 6 cases who received cholangiotomy with BDT resection was 18 months.6 cases were treated by biliary tract prosthesis drainage，with an average survival time of 5.6 months．Conclusion：Surgical operation is the most important prognostic factor for HCC patient with BDT.Early diagnosis and surgery after appropriate preoperative management of hepatocellular carcinoma with biliary tumor thrombi is effective in improving the life quality and prolonging life span.

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Last Update: 2016-12-01