Concomitant Hepatolithiasis with Primary Hepatocellular Carcinoma: An innovative problem Hui Jiang1, Yu Zhang2, Jianguo Qiu3, Hong Wu4
ABSTRACT Concomitant primary hepatocellular carcinoma with hepatolithiasis is a rare form. We present a case of left hepatolithiasis accompany with primary hepatocellular carcinoma of right lobe in a 62-year-old man, who underwent left lateral hepatectomy, cholecystectomy, common bile duct exploration and T-tube drainage 20 years ago for hepatolithiasis and gallstones. The tumor was detected during the follow-up for his residual hepatolithiasis. A right hemihepatectomy and common bile duct exploration and T-tube drainage was performed and left hepatolithiasis was remained for next operation to prevent hepatic failure. A histological examination of the specimen revealed typical features of hepatocellular carcinoma. This report describes staged management for patient with both benign and malignant hepatao-biliary disease.
KEY WORDS: Hepatocellular carcinoma, Hepatolithiasis, Liver
Pak J Med Sci July - September 2012 Vol. 28 No. 4 742-744 How to cite this article: Jiang H, Zhang Y, Qiu J, Wu H. Concomitant Hepatolithiasis with Primary Hepatocellular Carcinoma: An innovative problem. Pak J Med Sci 2012;28(4):742-744