2019 Volume 33 Issue 1 Pages 127-133
A 53 year-old woman was referred to our hospital with complaints of hypogastrium pain. Abdominal computed tomography revealed a huge tumor which measured 7cm in maximal diameter in the hepatic hilum of the right lobe. Branches of hepatic artery, portal vein and bile duct pass through in the tumor. The tumor biopsy specimen revealed the findings of adenocarcinoma. We diagnosed it as intrahepatic cholangiocellular carcinoma. We performed extended right hepatectomy with caudate lobectomy and extrahepatic bile duct resection. Macroscopically, the tumor was solid and whitish in cut surface and the normal portal canal was seen in the center of the tumor. The lesion was diagnosed as cholangiolocellular carcinoma histologically. She had developed benign stenosis of choledochojejunostomy 7 months after surgery. We dilated the anastomosis by a biliary stent via PTBD fistula. She has been in good health with no recurrence for seven years and six months after surgery.
