Combined hepatocellular-cholangiocarcinoma: A case report

C. H. Toh, Y. C. Cheung, Shu Hang Ng*, C. Y. Lin, S. C. Chan, K. K. Ng

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

9 Scopus citations

Abstract

Combined hepatocellular-cholangiocarcinoma (HCC-CC) is a rare primary liver tumour. We report a carrier of both HBV and HCV presenting with intermittent abdominal pain, fever, chillness and elevated á-fetoprotein (AFP) of 1197 ng/ml. Computed tomography showed an irregular hypodense mass in the left lateral segment of the liver with vague contrast enhancement and multiple regional lymphadenopathy. Hepatic angiogram showed that the mass was hypovascular and the left portal vein was occluded with a tapered end. Percutaneous ultrasound-guided core needle biopsy of the liver yielded HCC-CC. We suggest that HCC-CC should be considered in hypovascular liver tumours with striking elevation of serum AFP and multiple regional lymphadenopathy.

Original languageEnglish
Pages (from-to)1170-1173
Number of pages4
JournalInternational Journal of Clinical Practice
Volume58
Issue number12
DOIs
StatePublished - 12 2004
Externally publishedYes

Keywords

  • Combined hepatocellular-cholangiocarcinoma
  • Liver neoplasm

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