Download PDF
Endoscopy 1987; 19(1): 39-42
DOI: 10.1055/s-2007-1018226
© Georg Thieme Verlag KG Stuttgart · New York

A Case of Laparoscopically Detected Cholangiocarcinoma of a Few Millimeters in Size, with Portal Fibrosis

M. Watanabe, Y. Shimada, S. Nagaoka1 , S. Fukumoto, H. Hirakawa, K. Nishimura
  • Department of Internal Medicine [Second Unit], Shimane Medical University, Izumo 693, Japan
  • 1Department of Laboratory Medicine, Shimane Medical University Hospital, Izumo 693, Japan
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Also available at
  PDF Download  Permissions and Reprints

Summary

A 54-year-old male with no subjective complaints was admitted to our hospital with fatty liver and low echoic lesion of 3 × 4 cm, thereafter revealed to be a hemangioma. A white lesion of few millimeters in size was detected in the left lobe of the liver at laparoscopic examination, and histologically diagnosed in an aimed biopsy as cholangiocarcinoma. Another 5 lesions (three white spots, a white longitudinal protrusion and a white lesion with a lacy pattern) suggestive of malignancy were also selectively biopsied, but all proved histologically negative. Microwave coagulation was applied to all biopsied sites as anti-cancer therapy.

Key words:

Millimeter (mm) hepatoma - Laparoscopy - Aimed biopsy - Therapeutic laparoscopy

      >