关键词: 肝细胞癌, 胆管癌栓, 手术切除, 术前减黄

Abstract:

Diagnosis and management of hepatocellular carcinoma with biliary tumor thrombi        YIN Xiao-yu. Department of Pancreato-Biliary Surgery，the First Affiliated Hospital，Sun Yat-Sen University，Guangzhou 510080, China
Abstract    Hepatocellular carcinoma (HCC) with biliary tumor thrombi is not common. Biliary tumor thrombi usually arise from the intrahepatic bile duct which is invaded by HCC, and gradually extend towards the hilar bile ducts, and even common bile duct. It eventually leads to obstructive jaundice, and hemobilia occasionally. HCC with biliary tumor thrombi sometimes can be misdiagnosed as cholangiocarcinoma. Correct diagnosis is important. Aggressive surgical resection is helpful to prolong the patient’s survival time，and improve the long-term outcome.

Key words: hepatocellular carcinoma, biliary tumor thrombi, surgical resection, preoperative biliary decompression