Percutaneous Transhepatic Intraductal Forceps Biopsy of Icteric Hepatocellular Carcinoma

黃疸性肝癌之經皮穿肝膽道內取樣術

周紹賓(Andy Shau-Bin Chou) ； 曾振輝(Jeng-Hwei Tsen) ； 洪建福(Chein-Fu Hung) ； 潘廣澤(Kuang-Tse Pan) ； 嚴寶勝(Pao-Sheng Yen)

《慈濟醫學雜誌》 16卷2期 (2004/04) Pp. 93-98

https://doi.org/10.6440/TZUCMJ.200404.0093

摘要

目的：評估經皮穿肝膽道內取樣術應用於診斷黃疸性肝癌之方法及效果。病人與方法：八位肝炎合併阻塞性黃疸之病患接受經皮穿肝膽道引流術，病患於一至二週後接受經皮穿肝膽道內取樣術。結果：所有的取樣皆得到足夠組織及正確病理診斷，取樣後所有病患皆有暫時性出血性黃疸，少部份病患有低燒及疼痛之輕微併發症，無任一病患有嚴重之併發症。結論：經皮穿肝膽道內取樣術用於診斷黃疸性肝癌為一安全及有效之方法。

關鍵字

肝癌 ； 膽道 ； 阻塞 ； 黃疸 ； 取樣

並列摘要

Objective: To determine the usefulness and effectiveness of percutaneous transhepatic intraductal biopsy for fragmented tumors of the icteric type hepatocellular carcinoma (HCC). Patients and Methods: Eight patients with chronic hepatitis and obstructive jaundice received percutaneous transhepatic biliary drainage (PTBD). Intraductal forceps biopsy was performed through the established percutaneous transhepatic tract 1 to 2 weeks later following PTBD procedure. Results: Adequate specimen for pathological diagnosis was obtained in all patients. Transient hemobilia occurred in all patients, and minor complications such as low grade fever and pain were occasionally seen. No major complication was encountered. Conclusions: Intraductal forceps biopsy after percutaneous transhepatic biliary drainage is a safe and effective method for tissue confirmation of icteric HCC even in cases with bleeding tendency and with the presence of small amount of ascites.

並列關鍵字

hepatocellular carcinoma ； bile ducts ； obstruction ； jaundice ； biopsy