Apps
Surgpath
→
gastrointestinal
→
liver
cholangiocarcinoma
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Clinical
encompasses all bile duct carcinomas
can be intrahepatic or extrahepatic
most commonly adenocarcinoma
Bile duct adenocarcinoma
architecture: infiltrative glands. Can also be micropapillary, acinar, or cord like
cytology: small-medium cells, cuboidal, columnar, can be pleomorphic
desmoplasia
Other carcinomas
mucoepidermoid carcinoma
lymphoepithelioma like carcinoma
sarcomatous cholangiocarcinoma
see gallbladder for other types
Ddx
bile duct adenoma
small: < 1 cm
well circumscribed
small uniform ducts, benign cytology
bile duct hamartoma
small: < 1 cm
adjacent to portal tract
biliary adenofibroma
peribiliary cyst
peribiliary gland hyperplasia