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J Korean Radiol Soc. 2004 Mar;50(3):195-198. Korean. Case Report.
Kim TE , Kim JH , Kim BY , Lee IK , Kim IS .
Department of Diagnostic Radiology, Fatima Hospital, Daegu, Korea.
Department of Pathology, Fatima Hospital, Daegu, Korea.

Cholangiocarcinomas have several histologic types, but intrahepatic cholangiocarcinoma with sarcomatous change is rare. A 71-year-old man was admitted to our hospital because of fever which had lasted two months. Ultrasonography (US) of the upper abdomen demonstrated a huge hepatic mass with central solid and peripheral cystic portions, and computed tomography (CT) revealed a heterogeneous hepatic mass with a central area in which enhancedment was delayed. Magnetic resonance imaging (MRI) disclosed a huge mass of predominantly low signal intensity at T1WI, and peripheral portions of high signal intensity and a central portion of intermediate signal intensity at T2WI. The pathologic diagnosis was cholangiocarcinoma with sarcomatous change.

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