Curative Resection of Combined Hepatocellular and Cholangiocarcinoma with Lymph Node Metastasis

Abstract

An 80-year-old Japanese man was admitted to the hospital with abdominal pain. Blood examination showed the elevated level of CA19-9. Computed tomography showed a swollen lymph node near segment 1 of the liver and a 25 mm hepatic tumor in segment 5. With the diagnosis of hepatocellular carcinoma, we performed liver resection and lymph node dissection. The pathological diagnosis was consistent with combined hepatocellularcholangiocarcinoma, classical type. He is alive 11 months with no recurrence postoperatively.