Biliary invasion by hepatocellular carcinoma (HCC) is much less common. Patients manifest obstructive jaundice as the initial complaint, but most of them are inoperable. We report a case of completely improved biliary invasion in HCC after transcatheter arterial chemoembolization (TACE). A 61-year-old woman was referred for evaluation of jaundice. A biliary invasion of huge HCC was confirmed by image of abdominal computerized tomography (CT) and biopsy specimen. After improvement of jaundice by endoscopic retrograde biliary drainage and percutaneous transhepatic biliary drainage, she underwent TACE as a palliative treatment. Follow-up CT showed partial lipiodol uptake in hepatic tumor and its bile duct invasion. In follow-up endoscopic retrograde cholangiopancreatography, occluded cholangiogram showed neither luminal obstruction nor filling defect after removal of biliary stent. Our case suggests that obstructive jaundice, caused by inoperable huge HCC with biliary invasion, may be expected to resolve successfully biliary obstruction by a choice of TACE.

• 류정훈(칠곡경북대학교병원 소화기내과) | Chung-Hoon Yu
• 박정길(칠곡경북대학교병원 소화기내과) | Jung-Gil Park
• 김규영(칠곡경북대학교병원 소화기내과) | Gyu-Young Kim
• 황희영(칠곡경북대학교병원 소화기내과) | Hee-Young Hwang
• 정민규(칠곡경북대학교병원 소화기내과) | Min-Kyu Jung
• 배한익(병리과) | Han-Ik Bae
• 김갑철(영상의학과) | Gab-Chul Kim
• 조창민(칠곡경북대학교병원 소화기내과) | Chang-Min Cho Corresponding author