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...
Main Authors: | , , , , , , , , , , , , , , , |
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Format: | Article |
Language: | English |
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Karger Publishers
2013-09-01
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Series: | Case Reports in Gastroenterology |
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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. |
first_indexed | 2024-12-14T12:58:41Z |
format | Article |
id | doaj.art-d18c88997ac242608f971a238cd59192 |
institution | Directory Open Access Journal |
issn | 1662-0631 |
language | English |
last_indexed | 2024-12-14T12:58:41Z |
publishDate | 2013-09-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Gastroenterology |
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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