A case of cholangiolocellular carcinoma with diabetes mellitus, chronic renal failure, and liver cirrhosis

Abstract

The case is a 59-year old male. He was admitted to the Tokai University for treatment of diabetes mellitus, chronic renal failure and skin ulcer of the left foot in october, 2006. At that time, a liver tumor with a diameter of 30 mm was found in the left lobe of the liver by abdominal CT. Abdominal ultrasonographic examinations also revealed the presence of a round tumor with a size of 30 mm in the left lobe of the liver. The margin of the tumor was unclear and the echo pattern was heterogeneous and hypoechoic. The mass partly enhanced with contrasts. Abdominal CT revealed a low density mass of 30 mm in size in the left lobe of the liver. The mass was enhanced irregularly. The mass was shown as a defect of uptake of SPIO by abdominal MRI SPIO. The mass was diagnosed as cholanglocellular carcinoma by echo guided biopsy. We determined that resection of the tumor would be difficult. Therefore, we performed RFA with direct vision.