Sarcomatoid combined hepatocellular-cholangiocarcinoma: a case report and review of literature.

Int J Clin Exp Pathol

Department of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine Bucheon, Korea.

Published: September 2015

Sarcomatoid combined hepatocellular-cholangiocarcinoma is an extremely rare primary hepatic malignancy and only a few cases have been reported. Herein, we report a case of combined hepatocellular-cholangiocarcinoma with sarcomatoid changes in a 52-year-old man, who had a history of liver cirrhosis and transarterial chemoembolization. The resected liver revealed a mass of 4.5×3.5 cm. Microscopically, the tumor was composed of adenocarcinoma intermingled with poorly differentiated hepatocellular carcinoma, which contained atypical spindle cells. We also present a short review of reported cases of sarcomatoid combined hepatocellular-cholangiocarcinoma.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270511PMC

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  • Results indicated that features like low echo halo, irregular rim-like enhancement, and early washout are significant risk factors for MVI, providing a predictive tool for clinicians.
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