Korean J Hepatol > Volume 5(3); 1999 > Article
The Korean Journal of Hepatology 1999;5(3): 253-258.
총담관 결석에 의한 간농양으로 발견된 간암 1 예 ( Hepatocellular Carcinoma Incidentally Discovered by Liver Abscess Associated with CBD Stone and Cholangitis )
Hepatocellular Carcinoma Incidentally Discovered by Liver Abscess Associated with CBD Stone and Cholangitis
Yong Jick Sung, M.D., Su Eun Yu, M.D., Sun Mi Park, M.D. Dong Bin Kim, M.D., Si Hyun Bae, M.D., Jin Il Kim, M.D. Choon Sang Bang, M.D., Young Min Park, M.D., Kyu Won Chung, M.D. Hee Sik Sun, M.D., Doo Ho Park, M.D., Boo Sung Kim, M.D. Sang Hoon Lee*, M.D. and Eun Deok Chang+ M.D.
Department of Internal Medicine, Radiology*, and Pathology+, College of Medicine, The Catholic University of Korea, Seoul, Korea
ABSTRACT
Hepatocellular carcinoma (HCC) is one of the most common fatal malignancies worldwide, especially in Korea. The recent advances in diagnostic techniques, such as serum tumor marker assay, ultrasonography, computerized tomography (CT), magnetic resonance imaging (MRI), and angiography, allow us to detect HCC at early stage. Even though, it remains difficult to distinguish malignant nodules from benign space-occupying lesions of liver. Distinction of HCC from benign entities such as liver abscess is important because failure of prompt diagnosis could result in a missed opportunity for curative treatment. The differential diagnosis of HCC and liver abscess, especially HCC presenting as abscess, is sometimes very difficult. We report a case of HCC with liver abscess caused by secondary infection of CBD stone and cholangitis, that mimicked the dynamic CT findings of liver abscess, in an elderly patient with chronic hepatitis C virus infection. (Korean J Hepatol 1999;5:253-258)
KeyWords: Hepatocellular carcinoma, Liver abscess, CBD stone
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