A very rare case of hepatocellular carcinoma( HCC) extending within the common bile duct( CBD) and left intrahepatic duct( IHD) with no detectable primary hepatic tumor in a52- year-old Taiwanese man is reported.

• 摘要肝细胞癌（癌）国内恶性肿瘤死因中的第一位，住院的大型肝癌患者常见症状包括腹痛、欲不振、重减轻、胀、身虚弱、部肿块、烧等。