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Case Reports in Pathology
Volume 2014 (2014), Article ID 410849, 6 pages
http://dx.doi.org/10.1155/2014/410849
Case Report

A Fatal Case of Primary Basaloid Squamous Cell Carcinoma in the Intrahepatic Bile Ducts

1The Department of Gastroenterology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark
2The Department of Oncology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark
3The Department of Pathology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark

Received 8 August 2014; Accepted 11 September 2014; Published 7 October 2014

Academic Editor: Zsuzsa Schaff

Copyright © 2014 Johan Kirkegaard et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary squamous cholangiocellular carcinomas are very rare. We describe a case of a 67-year-old man, who underwent chemotherapy and surgery for a right-sided liver tumor with an unusual presentation of metastasis to a lymph node in the left armpit. The patient was asymptomatic at the time of diagnosis but expired 20 months after surgery with epidural, lung, and spine metastasis. In addition to the unusual clinical presentation, the diagnosis of the liver tumor was that of a primary basaloid squamous cell carcinoma of the intrahepatic bile ducts, an entity with only one previous report in the literature.