Unusual Images of Mass-Forming Intrahepatic Cholangiocarcinoma

We experienced a case of mass-forming intrahepatic cholangiocarcinoma which could not been diagnosed accurately without pathologic findings. A 78-year-old Japanese woman with no particular symptoms was admitted for changes in liver function tests. Ultrasonography revealed a solid liver tumor. When t...

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Main Authors: Kazuki Takakura, Mikio Kajihara, Tetsuyoshi Iwasaki, Daisuke Ide, Tamihiro Miyazaki, Yoshinori Arai, Masayuki Saruta, Seiji Arihiro, Mika Matsuoka, Shigeo Koido, Ryusuke Ito, Michinori Matsumoto, Takeshi Gocho, Shigeki Wakiyama, Katsuhiko Yanaga, Hisao Tajiri
Format: Article
Language:English
Published: Karger Publishers 2013-09-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:http://www.karger.com/Article/FullText/352015
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author Kazuki Takakura
Mikio Kajihara
Tetsuyoshi Iwasaki
Daisuke Ide
Tamihiro Miyazaki
Yoshinori Arai
Masayuki Saruta
Seiji Arihiro
Mika Matsuoka
Shigeo Koido
Ryusuke Ito
Michinori Matsumoto
Takeshi Gocho
Shigeki Wakiyama
Katsuhiko Yanaga
Hisao Tajiri
author_facet Kazuki Takakura
Mikio Kajihara
Tetsuyoshi Iwasaki
Daisuke Ide
Tamihiro Miyazaki
Yoshinori Arai
Masayuki Saruta
Seiji Arihiro
Mika Matsuoka
Shigeo Koido
Ryusuke Ito
Michinori Matsumoto
Takeshi Gocho
Shigeki Wakiyama
Katsuhiko Yanaga
Hisao Tajiri
author_sort Kazuki Takakura
collection DOAJ
description We experienced a case of mass-forming intrahepatic cholangiocarcinoma which could not been diagnosed accurately without pathologic findings. A 78-year-old Japanese woman with no particular symptoms was admitted for changes in liver function tests. Ultrasonography revealed a solid liver tumor. When there are no typical imaging features, no pathognomonic clinical findings and no obvious risk factors for any specific hepatic tumor, it may be difficult to make an accurate diagnosis before surgical resection. The lesion was resected on the basis of a high degree of suspicion for malignancy and submitted for pathologic evaluation. Microscopically, the neoplasm was a moderately differentiated adenocarcinoma with abundant fibrous stroma, consistent with a mass-forming cholangiocarcinoma. This case exemplifies the importance of considering the various tumorous and non-tumorous diseases in the differential diagnosis of a liver mass with atypical features, especially when malignancy cannot be excluded.
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spelling doaj.art-d18c88997ac242608f971a238cd591922022-12-21T23:00:29ZengKarger PublishersCase Reports in Gastroenterology1662-06312013-09-017341441910.1159/000352015352015Unusual Images of Mass-Forming Intrahepatic CholangiocarcinomaKazuki TakakuraMikio KajiharaTetsuyoshi IwasakiDaisuke IdeTamihiro MiyazakiYoshinori AraiMasayuki SarutaSeiji ArihiroMika MatsuokaShigeo KoidoRyusuke ItoMichinori MatsumotoTakeshi GochoShigeki WakiyamaKatsuhiko YanagaHisao TajiriWe experienced a case of mass-forming intrahepatic cholangiocarcinoma which could not been diagnosed accurately without pathologic findings. A 78-year-old Japanese woman with no particular symptoms was admitted for changes in liver function tests. Ultrasonography revealed a solid liver tumor. When there are no typical imaging features, no pathognomonic clinical findings and no obvious risk factors for any specific hepatic tumor, it may be difficult to make an accurate diagnosis before surgical resection. The lesion was resected on the basis of a high degree of suspicion for malignancy and submitted for pathologic evaluation. Microscopically, the neoplasm was a moderately differentiated adenocarcinoma with abundant fibrous stroma, consistent with a mass-forming cholangiocarcinoma. This case exemplifies the importance of considering the various tumorous and non-tumorous diseases in the differential diagnosis of a liver mass with atypical features, especially when malignancy cannot be excluded.http://www.karger.com/Article/FullText/352015Mass-forming intrahepatic cholangiocarcinomaModerately differentiated adenocarcinoma
spellingShingle Kazuki Takakura
Mikio Kajihara
Tetsuyoshi Iwasaki
Daisuke Ide
Tamihiro Miyazaki
Yoshinori Arai
Masayuki Saruta
Seiji Arihiro
Mika Matsuoka
Shigeo Koido
Ryusuke Ito
Michinori Matsumoto
Takeshi Gocho
Shigeki Wakiyama
Katsuhiko Yanaga
Hisao Tajiri
Unusual Images of Mass-Forming Intrahepatic Cholangiocarcinoma
Case Reports in Gastroenterology
Mass-forming intrahepatic cholangiocarcinoma
Moderately differentiated adenocarcinoma
title Unusual Images of Mass-Forming Intrahepatic Cholangiocarcinoma
title_full Unusual Images of Mass-Forming Intrahepatic Cholangiocarcinoma
title_fullStr Unusual Images of Mass-Forming Intrahepatic Cholangiocarcinoma
title_full_unstemmed Unusual Images of Mass-Forming Intrahepatic Cholangiocarcinoma
title_short Unusual Images of Mass-Forming Intrahepatic Cholangiocarcinoma
title_sort unusual images of mass forming intrahepatic cholangiocarcinoma
topic Mass-forming intrahepatic cholangiocarcinoma
Moderately differentiated adenocarcinoma
url http://www.karger.com/Article/FullText/352015
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