Perihilar cholangiocarcinoma: case report and surgical approach
Perihilar cholangiocarcinoma: case report and surgical approach
DOI:
https://doi.org/10.51473/rcmos.v1i1.2026.2005Keywords:
Cholangiocarcinoma, Biliary neoplasms, Hepatic surgeryAbstract
Cholangiocarcinoma is a rare and aggressive malignant neoplasm arising from the biliary epithelium. Diagnosis is often delayed due to nonspecific symptoms. We report the case of a 59-year-old female presenting with epigastric and right upper quadrant pain for one year, associated with postprandial nausea and vomiting, without jaundice or weight loss. Laboratory tests showed mild hyperbilirubinemia and normal tumor markers. Computed tomography and magnetic resonance cholangiography revealed an infiltrative lesion in hepatic segment IV with intraductal extension involving the hepatic hilum, classified as Bismuth-Corlette IIIB. Liver biopsy confirmed moderately differentiated adenocarcinoma. The patient underwent partial hepatectomy with lymphadenectomy of the hepatic pedicle, achieving tumor-free margins. Postoperative recovery was uneventful. Surgical resection with curative intent remains the cornerstone of treatment when feasible.
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Copyright (c) 2026 Lucas Rocha da Silva, Brigida Thaine Fernandes Cabral, Danielle Alcântara Barbosa Macedo (Autor)
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