Korean Journal of Gastrointestinal Endoscopy 1997;17(5): 696-701.
증례 : 위장관 ; 간세포암과 병발한 임상적으로 진단된 궤양성 대장염 1예 ( Case Reports : Stomach & Intestine ; A Case of Clinical Ulcerative Colitis with Concurrent Hepatocellular Carcinoma )
유인환, 박주일, 김재일, 이창후, 강정협, 한성민, 김화영, 박해규, 소순찬, 곽경근, 김석은, 박석준, 박영희 (In Hwan Yu, Joo Il Park, Jae Il Kim, Chang Hoo Lee, Jung Hyup Kang, Sung Min Han, Hwa Young Kim, Hae Gyu Park, Soon Chan Soh, Kyung Geun Kuark, Seok Eun Kim, Suk Joon Park and Young Hee Park)
Abstract
Ulcerative colitis is a diffuse inflammatory disease which is characterized by the vascular congestion and superficial ulcerations in the mucosal and the submucosal layers of the rectum and colon. Extraintestinal manifestations such as arthritis, skin lesion, hepatobiliary and ocular diseases occur in a large number of patients with ulcerative colitis, though gastrointestinal symptoms of mucous and bloody stool, diarrhea and abdominal pain are frequently presented. The association of ulcerative colitis and hepatobiliary disease has been frequently reported in the western countries since the first description by Thomas C.H. in 1874. Fatty degeneration, chronic active hepatitis, cirrhosis, primary sclerosing cholangitis and hepatobiliary carcinoma are included in this list of complications. In the case of hepatobiliary carcinoma, however, the histological diagnosis has almost invariably been cholangiocarcinoma. We report a case of clinical ulcerative colitis with coneurrent hepatocellular carcinoma confirmed by the histologic examination of biopsy specimen in a 49 year old man with the relevant literatures. (Korean J Gastrointest Endosc 17: 696-701, 1997)
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