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Volume 44, Issue 6, Pages (June 2006)

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1 Volume 44, Issue 6, Pages 1066-1073 (June 2006)
Cholangiocarcinoma and Clonorchis sinensis infection: A case–control study in Korea  Dongil Choi, Jae Hoon Lim, Kyu Taek Lee, Jong Kyun Lee, Seong Ho Choi, Jin Seok Heo, Kee-Taek Jang, Nam Yong Lee, Seonwoo Kim, Sung-Tae Hong  Journal of Hepatology  Volume 44, Issue 6, Pages (June 2006) DOI: /j.jhep Copyright © 2005 European Association for the Study of the Liver Terms and Conditions

2 Fig. 1 Cholangiocarcinoma (CC) in the mid common duct, with clonorchiasis, in a 60-year-old man. Pathology reveals a 2.4-cm well-differentiated tubular adenocarcinoma after segmental resection of the common duct. Clonorchis sinensis eggs were found in both the stool and bile juice of the patient. He had many episodes of eating raw freshwater fish about 30 years ago. (A) Contrast-enhanced CT shows a diffuse, mild intrahepatic ductal dilatation (arrows) caused by C. sinensis infection. (B) CT at a level lower than (A) shows the enhancing, segmental thickened wall (arrows) of the mid common duct, which represents an extrahepatic CC. (C) Endoscopic retrograde cholangiography shows complete obstruction of the common duct (arrow) and diffuse dilated intrahepatic ducts (arrowheads). Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2005 European Association for the Study of the Liver Terms and Conditions

3 Fig. 2 Cholangiocarcinoma (CC) in the mid common duct, without clonorchiasis, in a 64-year-old woman. Pathology reveals a 1.5-cm papillary adenocarcinoma after segmental resection of common duct. She had no evidence of C. sinensis infection. (A) Contrast-enhanced CT shows mild dilatation of the central intrahepatic duct (arrowheads), but the peripheral intrahepatic ducts are not dilated. (B) CT at a level lower than (A) shows the enhancing, segmental thickened wall (arrows) of the mid common duct and a suspicious intraluminal mass, which represents an extrahepatic CC. (C) MR cholangiography shows an intraluminal tumor (arrows) at the level of the mid common duct. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2005 European Association for the Study of the Liver Terms and Conditions

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