Liver CT Appearances

Hepatic Cholangiocarcinoma CT Findings

• Periductal-infiltrating mass
• Mass is often sizeable and nonencapsulated
• Intraductal growth
• Peripheral washout appearance
• May have capsular retraction and bile duct dilation
• May have daughter nodules
• Dilated ducts more common than in hepatoma

Other Information About Hepatic Cholangiocarcinoma

Etiology:

• Unknown

Epidemiology:

• Typically presents around ages 50-70

Presentation:

• Jaundice
• Itching
• Dark urine and/or light-colored stool
• RUQ pain
• Fever
• Weight loss
• Fatigue

Prognosis:

• Relative 5-year survival rates for intrahepatic cholangiocarcinoma:
  • Localized: 23%
  • Regional: 9%
  • Distant: 3%
  • All SEER stages combined: 9%

Related Pearls: Cholangiocarcinoma