• 1. Department of Infectious Disease, The First Hospital of Lanzhou University, Lanzhou 730030, Gansu Province, China;
  • 2. Department of General Surgery, The Second Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China;
CHENHong, Email: chenhong1956@126.com
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Objective To discuss clinical manifestation, laboratory examination, imaging and pathological features of intrahepatic cholangiocellular carcinoma(ICC) patients with fever as initial symptom accompanied with liver area pain, in order to improve the clinicians' acquaintance for ICC under similar circumstances. Method The case informations including medical history, clinical manifestation, laboratory examination, imaging finding, pathological examination, and treatment of 4 patients diagnosed with ICC by pathological biopsy from july 2013 to October 2014 in the First hospital of Lanzhou University were analyzed retrospectively. Results All of four cases showed the fever as the initial symptom accompanied with the liver area pain. All of them had got chronic HBV infection. The WBC, neutrophil percentage, and procalcitonin were increased on admission in 3 cases. the levels of serum ALP and GGT were elevated in 3 patients. The AFP was obviously increased in 1 patient. The serum CA19-9 had moderately elevated in 2 patients. the ferroprotein was obviously increased in 2 patients. All the patients were confirmed under the abdominal CT scans and the liver pathological biopsy. Conclusion Patients with fever and liver area pain as intial symptoms, and with chronic hepatitis B and space-occupying lesions, who should be alert for ICC.

Citation: ZHAORong-rong, YUZe-yuan, CHENHong. Fever as Initial Symptom of Intrahepatic Cholangiocellular Carcinoma: Report of 4 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(12): 1501-1506. doi: 10.7507/1007-9424.20150390 Copy

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