Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature
The authors report a case of a patient with intrahepatic sarcomatous cholangiocarcinoma. A 45-year-old Thai man presented with a 3-month history of right upper abdominal pain. CT scan revealed hepatomegaly with a 6.5 cm hypovascular soft tissue density mass in the right lobe and showed mild delayed...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/3862575 |
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| author | Thana Boonsinsukh Vichit Viriyaroj Thammanij Rookkachart Therdkiat Trongwongsa |
| author_facet | Thana Boonsinsukh Vichit Viriyaroj Thammanij Rookkachart Therdkiat Trongwongsa |
| author_sort | Thana Boonsinsukh |
| collection | DOAJ |
| description | The authors report a case of a patient with intrahepatic sarcomatous cholangiocarcinoma. A 45-year-old Thai man presented with a 3-month history of right upper abdominal pain. CT scan revealed hepatomegaly with a 6.5 cm hypovascular soft tissue density mass in the right lobe and showed mild delayed enhancement. On exploratory laparotomy, the tumor adherent to right diaphragm was found. We performed right hepatectomy, partial resection of right diaphragm, and cholecystectomy. The immunohistological results suggested “sarcomatous intrahepatic cholangiocarcinoma.” The tumor was recurrent in 5 months after operation and unresectable. Therefore, the treatment in this patient was supportive care. He died 11 months after his initial presentation. The literature reviews showed that intrahepatic sarcomatous cholangiocarcinoma is aggressive malignant with poor prognosis. Early detection, radical resection, and careful follow-up would be the treatment for the favorable prognosis. |
| format | Article |
| id | doaj-art-9a9b65a3b71d41cea69e551f5be9f146 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-9a9b65a3b71d41cea69e551f5be9f1462025-02-03T01:03:44ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/38625753862575Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the LiteratureThana Boonsinsukh0Vichit Viriyaroj1Thammanij Rookkachart2Therdkiat Trongwongsa3Department of Surgery, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, ThailandDepartment of Surgery, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, ThailandDepartment of Surgery, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, ThailandDepartment of Pathology, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, ThailandThe authors report a case of a patient with intrahepatic sarcomatous cholangiocarcinoma. A 45-year-old Thai man presented with a 3-month history of right upper abdominal pain. CT scan revealed hepatomegaly with a 6.5 cm hypovascular soft tissue density mass in the right lobe and showed mild delayed enhancement. On exploratory laparotomy, the tumor adherent to right diaphragm was found. We performed right hepatectomy, partial resection of right diaphragm, and cholecystectomy. The immunohistological results suggested “sarcomatous intrahepatic cholangiocarcinoma.” The tumor was recurrent in 5 months after operation and unresectable. Therefore, the treatment in this patient was supportive care. He died 11 months after his initial presentation. The literature reviews showed that intrahepatic sarcomatous cholangiocarcinoma is aggressive malignant with poor prognosis. Early detection, radical resection, and careful follow-up would be the treatment for the favorable prognosis.http://dx.doi.org/10.1155/2018/3862575 |
| spellingShingle | Thana Boonsinsukh Vichit Viriyaroj Thammanij Rookkachart Therdkiat Trongwongsa Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature Case Reports in Surgery |
| title | Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature |
| title_full | Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature |
| title_fullStr | Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature |
| title_full_unstemmed | Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature |
| title_short | Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature |
| title_sort | intrahepatic sarcomatous cholangiocarcinoma case report and review of the literature |
| url | http://dx.doi.org/10.1155/2018/3862575 |
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