Successful surgical resection of ruptured cholangiolocellular carcinoma:A rare case of a primary hepatic tumor

作     者：Shota Akabane Takushiro Ban Shunsaku Kouriki Hiroyuki Tanemura Haruhiro Nakazaki Masayuki Nakano Nobuaki Shinozaki 

作者机构：Department of SurgeryShonan Fujisawa Tokushukai Hospital Department of Diagnostic PathologyShonan Fujisawa Tokushukai Hospital 

出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)

年 卷 期：2017年第9卷第16期

页      面：752-756页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Hepatic tumor Rupture Cholangiolocellular carcinoma Resection Pathology 

摘      要：Spontaneous rupture is one of the most fatal complications of hepatic tumors such as hepatocellular carcinoma. In fact, many studies have shown that the in-hospital and 30-d mortality rates are as high as 25%-100%. Cholangiolocellular carcinoma(Co CC) is a rare primary hepatic tumor, usually small in size, that is thought to originate from the ductules and/or canals of Hering. Here, we present a case of spontaneous rupture of a Co CC that was successfully resected by radical surgery. Although Co CC is a rare primary hepatic tumor, it demonstrates certain specific clinical features, including a better prognosis than for other primary liver cancers, and thus should be distinguished from those other cancers. Moreover, Co CC can appear as a ruptured huge tumor, and when it does, radical hepatectomy can be an effective measure to achieve both absolute hemostasis and curability of tumor.