CASE 913: INTRAHEPATIC CHOLANGIOCARCINOMA, Dr PHAN THANH HẢI , Dr HỒ TẤN ĐẠT, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 71 year-old woman in check-up for 4 times.

Ultrasound in the first time was not interesting.

In the second time ultrasound noted  a cyst in the left lobe of the liver.

  

MSCT resulted some hepatic cysts.

Ultrasound in the third time detected a right lobe mass maybe a liver tumor and a left lobe cyst.

But MSCT replayed a hepatic hemangioma.

In the fourth time ultrasound thought about a # 44x30mm liver tumor including HCC.

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But the result of lab data with WAKO test was negative intead of the marker AntiHBc positive.

On hepatic MRI the result was  a #55x40 mm bile duct cancer of the right lobe of liver.

Surgery removed the right lobe liver tumor and the last diagnosis was a an  CCA, intrahepatic cholangiocarcinoma.

After 5 months post op, CCA speaded as multifocal in the liver and a chemotherapy management was done.

Cholangiocarcinoma (CCA) is challenging to diagnose early due to its ambiguous clinical presentation and highly aggressive nature. Consequently, if a suspected liver hemangioma exhibits rapid growth, an MRI should be performed to confirm the diagnosis.