A Case of Hepatocellular-cholangiocarcinoma Invading the Gallbladder

Korean J Hepatol > Volume 10(2); 2004 > Article

The Korean Journal of Hepatology 2004;10(2): 148-153.

A Case of Hepatocellular-cholangiocarcinoma Invading the Gallbladder

Kyung Young Namkoong, M.D., Myung Jin Kang, M.D., Hong Mok Im, M.D., Mi Sung Kim, M.D., Byung Sung Ko, M.D., Hyun Taek Ahn, M.D., Jong Riul Lee, M.D.* and Jong Ok Kim, M.D.

Department of Internal Medicine, General Surgery*, and Pathology Cheongju St. Mary's Hospital, Cheongju, Korea

ABSTRACT

Metastasis of hepatocellular carcinoma occurs at a relatively late stage of the disease. Hematogenous and lymphatic metastases are the most common routes for dissemination of tumor cells. Hepatocellular carcinoma also extends into the adjacent portal vein and bile ducts. Since there is no peritoneum between the body of the gallbladder and the liver fossa, gallbladder cancer can easily cross the boundary. Gallbladder invasion of hepatocellular carcinoma, however, is quite rare. We report a case of hepatocellular-cholangiocarcinoma in a non-cirrhotic liver that invaded the gallbladder mimicking the gallbladder carcinoma complicated by cholecystitis and liver abscess. (Korean J Hepatol 2004;10:148-153)

KeyWords: Neoplasm/Liver/Hepatocellular-cholangiocarcinoma carcinoma, Metastasis, Gallbladder