Abstract
A 40-year-old Thai female presented with 2 months progressive jaundice, weight loss, chronic abdominal discomfort and hepatomegaly. She had been living in suburban Zurich, Switzerland from 1983 to 1993 then came back to Thailand. The abdominal plain film and ultrasonography displayed calcified hypoechoic mass measuring 10 cm at right lobe of liver with intrahepatic duct dilatation. Additional abdominal computerized tomography revealed heterogeneous hypoechoic mass with central calcification. The clinical diagnosis was cholangiocarcinoma. Intraoperative finding documented the mass at right hepatic lobe with multiple nodules extending to porta hepatis. Right hepatectomy was performed. Grossly, the 10 cm intraparenchymal lesion appeared as firm yellow multivesicular infiltrative mass with central necrosis. These conglomerated small vesicles varied from 1 to 5 mm in diameter
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