A Case of Hepatic Duct Carcinoma with Hypervascularity in Angiography

Teruo Tsuru, Hiroyasu Mizoguchi, Shigeaki Aso, Kazuhiko Ohyama, Hiroaki Yoshida, Hiroshi Hisada, Yoshimine Kamura, Tetsurou Shirotani, Hisafumi Kinoshita, Keniti Kosuga, Yasuyuki Sasaguri, Toshimichi Nakayama

Second Department of Surgery, Kurume University School of Medicine (Director: Prof. Kiroku Ohoishi)

It is comparatively rare to see a trachychromatic image of the tumor in an angiogram of an extrahepatic cholangiocarcinoma, but we experienced one case of extrahepatic cholangiocarcinoma with a trachromatic image. The patient was a 68-year-old male with upper abdomnal pain as the main complaint. After liver dysfunction was detected and he was hospitalized, cholangiocarcinoma was diagnosed on the basis of the results of a detailed examination. The histopathological diagnosis was papillary adenocarcinoma. As a result of an investigation of the cause of the trachychromatic image of the tumor, it was found that propagation of capillarie in the interstitium of this tumor was excellent, as revealed by pooling of contrast medium in the capillaries. The tumor base tissue was considered to be a gastrointestinal origin embryologically.

Key words
carcinoma arisen from the right hepatic duct, lesion with hyper vascularity, trachychromatic image

Reprint requests
Teruo Tsuru Second Department of Surgery, Kurume University School of Medicine
67 Asahimach, Kurume, 830 JAPAN

Accepted
December 13, 1989

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