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이동화(Dong Wha Lee),조성원(Sung Won Cho),심찬섭(Chan Sup Shim),김영순(Young Soom Kim),정성환(Seong Whan Jung),문철(chul Moon) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
We report a case with multiple primary malignant tumor which occurred synchronously in the liver and gallbladder. A 56-year-old male was admitted because of right chest pain radiating to right shoulder. On physical examination, the liver edge was palpable 2 finger breadths below the right costal margin. The ultrasonogram showed mixed echo mass densities in right lobe of the liver and non-visualization of the gallbladder cavity. The oral cholecystogram showed non-visualization of the gallbladder and the ERCP showed suspicious irregularity of the wall of the gallbladder. Liver scan with ECT showed a cold defect on right upper anterolateral area of the liver. The abdominal CT scan revealed a small mass with slightly lower density in right upper lateral aspect of the liver. A mass was found in right lobe of the liver 5 cm apart from the gallbladder and another withish tumor mass was also found in upper part of the ga]lbladder at operative field. Microscopic findings of the these tissues were hepatocellular carcinoma in liver and adenocarcinoma of the gallbladder.