KMID : 1039320200200020173
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Journal of Liver Cancer 2020 Volume.20 No. 2 p.173 ~ p.176
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Rare Clinical and Radiologic Case of Cholangiocarcinoma Mimicking Pyogenic Abscess, Hepatic Echinococcal Cysts, and Metastases
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Lee Si-Hyeong
Ryu Soo-Hyung Lee Dong-Hoon Yoon Won-Eui Park Tae-Young Lee Hye-Kyung Moon Jeong-Seop
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Abstract
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Cholangiocarcinoma is a biliary carcinoma with a wide spectrum of imaging, histological, and clinical features. In immunocompromised patients, pyogenic abscesses are relatively common and an echinococcal hepatic cysts are very rare. The authors experienced a very rare case of cholangiocarcinoma showing multiple hypodense masses with wall enhancement mimicking pyogenic liver abscess, echinococcal hepatic cyst, and cystic metastases. An 83-year-old man, complaining of fatigue and poor oral intake, presented to our outpatient clinic. Abdominal computed tomography (CT) revealed multiple, variable-sized hypodense masses with peripheral rim enhancement throughout the liver. Dynamic liver magnetic resonance images also showed findings similar to those of a CT scan. We performed ultrasound-guided biopsy of the mass which revealed cholangiocarcinoma.
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KEYWORD
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Cholangiocarcinoma, Liver abscess, Echinococcus, Metastasis
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