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Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion

Combined hepatocellular-cholangiocarcinoma (HCC-CC) with bile duct invasion (BDI) is rare. In unresectable cases, biliary stent placement and photodynamic therapy (PDT) are used for resolving obstructive jaundice. However, stent occlusion remains problematic, and PDT is expensive and time-consuming....

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Autores principales: Han, Sung Yong, Song, Geun Am, Kim, Dong Uk, Baek, Dong Hoon, Lee, Moon Won, Kim, Gwang Ha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903080/
https://www.ncbi.nlm.nih.gov/pubmed/28854773
http://dx.doi.org/10.5946/ce.2017.097
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author Han, Sung Yong
Song, Geun Am
Kim, Dong Uk
Baek, Dong Hoon
Lee, Moon Won
Kim, Gwang Ha
author_facet Han, Sung Yong
Song, Geun Am
Kim, Dong Uk
Baek, Dong Hoon
Lee, Moon Won
Kim, Gwang Ha
author_sort Han, Sung Yong
collection PubMed
description Combined hepatocellular-cholangiocarcinoma (HCC-CC) with bile duct invasion (BDI) is rare. In unresectable cases, biliary stent placement and photodynamic therapy (PDT) are used for resolving obstructive jaundice. However, stent occlusion remains problematic, and PDT is expensive and time-consuming. Intraductal radiofrequency ablation (RFA) is an emerging procedure for palliation in these patients. It has potential benefits including less expense, lower rates of severe complication, longer maintenance of ductal patency, and easier technique compared with PDT or stenting alone. We report a 67-year-old man who underwent repeated intraductal RFA for HCC-CC and HCC with BDI, for whom bile duct patency was maintained without additional biliary procedures.
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spelling pubmed-59030802018-05-01 Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion Han, Sung Yong Song, Geun Am Kim, Dong Uk Baek, Dong Hoon Lee, Moon Won Kim, Gwang Ha Clin Endosc Case Report Combined hepatocellular-cholangiocarcinoma (HCC-CC) with bile duct invasion (BDI) is rare. In unresectable cases, biliary stent placement and photodynamic therapy (PDT) are used for resolving obstructive jaundice. However, stent occlusion remains problematic, and PDT is expensive and time-consuming. Intraductal radiofrequency ablation (RFA) is an emerging procedure for palliation in these patients. It has potential benefits including less expense, lower rates of severe complication, longer maintenance of ductal patency, and easier technique compared with PDT or stenting alone. We report a 67-year-old man who underwent repeated intraductal RFA for HCC-CC and HCC with BDI, for whom bile duct patency was maintained without additional biliary procedures. Korean Society of Gastrointestinal Endoscopy 2018-03 2017-08-31 /pmc/articles/PMC5903080/ /pubmed/28854773 http://dx.doi.org/10.5946/ce.2017.097 Text en Copyright © 2018 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Han, Sung Yong
Song, Geun Am
Kim, Dong Uk
Baek, Dong Hoon
Lee, Moon Won
Kim, Gwang Ha
Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
title Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
title_full Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
title_fullStr Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
title_full_unstemmed Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
title_short Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
title_sort bile duct patency maintained after intraductal radiofrequency ablation in a case of hepatocellular cholangiocarcinoma with bile duct invasion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903080/
https://www.ncbi.nlm.nih.gov/pubmed/28854773
http://dx.doi.org/10.5946/ce.2017.097
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