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Case Reports in Surgery
Volume 2018, Article ID 3862575, 4 pages
https://doi.org/10.1155/2018/3862575
Case Report

Intrahepatic Sarcomatous Cholangiocarcinoma: Case Report and Review of the Literature

1Department of Surgery, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand
2Department of Pathology, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand

Correspondence should be addressed to Thana Boonsinsukh; moc.liamtoh@25anahtra

Received 6 August 2017; Accepted 14 November 2017; Published 9 January 2018

Academic Editor: Serge Landen

Copyright © 2018 Thana Boonsinsukh 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

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.