Intrahepatic cholangiocarcinoma: radiologic-pathologic correlation

Radiology. 1988 Jun;167(3):689-93. doi: 10.1148/radiology.167.3.2834769.

Abstract

Seventeen proved cases of intrahepatic cholangiocarcinoma (ICAC) were reviewed to establish a radiologic-pathologic correlation. The most common appearance of ICAC at computed tomography (CT) is that of a single, homogeneous low-attenuation mass. Multiple low-attenuation lesions were present in four cases. Calcification was depicted by CT in three cases. At angiography, ICAC has a variable appearance with avascular, hypovascular, and hypervascular patterns possible. Portal obstruction was seen in only one case. The most common appearance of ICAC at sonography is that of a homogeneously hyperechoic mass, either single or multiple. In only one case was ICAC hypoechoic. Plain abdominal radiography demonstrated calcification in three patients and evidence of Thorotrast (thorium dioxide) deposition in one. Upper gastrointestinal series demonstrated abnormal gastric folds in two cases, corresponding to gastric invasion by ICAC. There were no characteristic radiographic findings, but the following features may be helpful in differentiating ICAC from other primary intrahepatic tumors, particularly typical hepatocellular carcinoma: a homogeneously echogenic or high-attenuation appearance on images that reflects the uniform nature observed at pathologic examination, the presence of calcification, and the uncommon invasion of portal or hepatic veins. Conversely, the presence of satellite lesions may blur the the distinction between ICAC and metastatic liver disease.

MeSH terms

  • Adenoma, Bile Duct / diagnosis
  • Adenoma, Bile Duct / diagnostic imaging*
  • Adenoma, Bile Duct / pathology
  • Adult
  • Aged
  • Angiography
  • Bile Duct Neoplasms / diagnosis
  • Bile Duct Neoplasms / diagnostic imaging*
  • Bile Duct Neoplasms / pathology
  • Bile Ducts, Intrahepatic* / diagnostic imaging
  • Bile Ducts, Intrahepatic* / pathology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radionuclide Imaging
  • Retrospective Studies
  • Tomography, X-Ray Computed
  • Ultrasonography