A 73-year-old man presented to Tokai University Hospital because of a hemorrhagic facial mass. He had advanced hepatic cancer, diagnosed as cholangiocellular carcinoma (CCC), and was receiving palliative therapy. The tumor measured 43 × 45 × 80mm and had grown during the previous 2 months. A biopsy was performed, and the diagnosis was metastatic CCC. Hemorrhage from the metastatic tumor occurred frequently. Transarterial embolization therapy was performed, but control of hemostasis was poor. Complete hemostasis was obtained by surgical resection of the tumor. Postoperatively, the patient was able to intake food orally, and his quality of life improved. However, despite no recurrence of metastasis, he died of hepatic failure 2 months postoperatively.
Autopsy revealed that most of the right lobe of the liver was replaced by CCC. Metastases were found in the left adrenal gland, lungs, and lymph nodes (liver hilus, para-aortic).
