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...

Full description

Saved in:
Bibliographic Details
Main Authors: Thana Boonsinsukh, Vichit Viriyaroj, Thammanij Rookkachart, Therdkiat Trongwongsa
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/3862575
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832566555390509056
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
work_keys_str_mv AT thanaboonsinsukh intrahepaticsarcomatouscholangiocarcinomacasereportandreviewoftheliterature
AT vichitviriyaroj intrahepaticsarcomatouscholangiocarcinomacasereportandreviewoftheliterature
AT thammanijrookkachart intrahepaticsarcomatouscholangiocarcinomacasereportandreviewoftheliterature
AT therdkiattrongwongsa intrahepaticsarcomatouscholangiocarcinomacasereportandreviewoftheliterature