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ZJUS-A
Journal of Zhejiang University-SCIENCE A (Applied Physics & Engineering)  2001, Vol. 2 Issue (1): 104-106    DOI: 10.1631/jzus.2001.0104
Medicine     
EVALUATION OF ERCP IN THE DIAGNOSIS OF HEPATOCELLULAR CARCINOMA INVADING BILE DUCTS
CAI Jian-ting, QIAN Ke-da, LU Wen-juan, YING Xin
Second Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310009, China
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Abstract  Endoscopic retrograde cholangiopancreatography(ERCP) was performed preoperatively on 29 patients suffering from hepatocellular carcinoma (HCC) invading bile ducts. The outstanding features were: 1. Most of the filling defects were situated within the common, right or left hepatic duct associated with proximal bile duct dilatations (17 cases); 2. Tumor encasement resulted in localised or diffused irregular strictures and dilatations (9 cases); 3. Displacemen t and stretching of the intrahepatic ducts by pressure of tumor mass (3 cases). These features are different from that in cholangiocarcinoma. ERCP should be considered as an important diagnostic procedure for HCC. It is especially useful for cases with obscure intrahepatic duct dialatation and /or an increase of AFP, and will help early diagnosis of HCC.

Key words： endoscopic retrograde cholangiopancreatography(ERCP)      hepatocellular carcinoma      diagnosis      cholangiocarcinoma     
Received: 16 April 2000     
CLC:  R575  
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QIAN Ke-da
CAI Jian-ting
LU Wen-juan
YING Xin
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CAI Jian-ting, QIAN Ke-da, LU Wen-juan, YING Xin. EVALUATION OF ERCP IN THE DIAGNOSIS OF HEPATOCELLULAR CARCINOMA INVADING BILE DUCTS. Journal of Zhejiang University-SCIENCE A (Applied Physics & Engineering), 2001, 2(1): 104-106.

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http://www.zjujournals.com/xueshu/zjus-a/10.1631/jzus.2001.0104     OR     http://www.zjujournals.com/xueshu/zjus-a/Y2001/V2/I1/104

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