Abstract
A 69-year-old man was seen at the hospital because of a liver tumor, which was detected at a medical checkout. There was a history of recieving an examination for a neck tumor 53 years before. On admission, a hard tumor was palpated at his neck. Abdominal simple X-ray film revealed many spotty calcification and atrophy of the spleen. US revealed a hypoechoic tumor 40×31mm in size at the segment VI. CT showed many spotty calcification around the branch of the celiac artery and a low density mass at the segment VI. Density of the liver was high (80 HU). From preoperative US guided puncture, a diagnosis of intrahepatic bile duct carcinoma was made. Partial resection of the liver was performed. Pathological examination revealed cholangiocarcinoma (mixed type). The patient died of recurrence 3 year after the operation.
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