Cholangiohepatocarcinoma as a second primary tumor

Authors

  • Lucien Gregoria Bory Porras CENTRO DE ATENCIÓN AL PACIENTE ONTOLÓGICO HOSPITAL III CONGRESO https://orcid.org/0000-0001-6469-031X
  • Deisy Martínez García
  • Maidelys Ortega Rodríguez
  • Yarilis Fábregas Valle
  • Roberto Y Ortiz Benet

Abstract

Fundament: Cholangiohepatocarcinoma is considered as an independent entity, they are rare mixed tumors that share characteristics with hepatocellular carcinoma and cholangiocarcinomas Hepatocellular carcinoma is the fourth cause of mortality for cancer around the world; typically it arises at a zone of hepatic chronic inflammation and fibrosis. Cholangiocarcinomas are a group of neoplasms that appear on any part of biliary tract.

Objective: To introduce a clinical case of a Cholangiohepatocarcinoma as a second primary tumor in a patient treated in Oncology Service of III Congreso.

Clinical case: A 68-year-old, male, white patient, who had the diagnosis of epidermoid carcinoma of the larynx on 2006, was treated with Radiotherapy with curative intention. At the present, on medical interview, by a routinely abdominal ultrasound is identified a hepatic tumor that was diagnosed as a cholangiohepatocarcinoma. The patient received surgery and systemic treatment later.

Conclusions: This case record provides information about this neoplasm, because there are few documented and studied cases on our country. Surgery and Later Systemic Treatment are extremely important as therapeutic weapons in this case.

Downloads

Download data is not yet available.

References

Vogel A, Meyer T, Sapisochin G, Salem R, Saborowski A. Hepatocellular Carcinoma. The Lancet. 2022; 400(10360): 1345-1362. [Citado 3 Abr 2022]. Disponible en: https://doi.org/10.1016/S0140-6736(22)01200-4

Zakka K, Renjian Jiang et al. Clinical outcomes of rare hepatocellular carcinoma variants compared to pure hepatocellular carcinoma. J Hepatocell Carcinoma. 2019; 6: 119-129. [Citado 3 Abr 2022]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660638

Ventura Y, Carr BI, et al. Analysis of aggressiveness factors in hepatocellular carcinoma patients undergoing transarterial chemoembolization. World J Gastroenterol. 2018 Apr 21; 24(15): 1641-1649. [Citado 3 Abr 2022]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5910547

Matilla Peña AM, Clemente Sánchez A, Ramón Botella E, et al. Colangiocarcinoma. Medicine, Programa de Formación Médica Continuada Acreditado, Vol 13, Issue 12, 2020. Pág. 666-677. [Citado 3 Abr 2022]. Disponible en: https://www.sciencedirect.com/science/article/pii/S03045412203001578

D´Alaimo Brenes N, D´Ávanzo Zúñiga D, Mora membreño K, et al. Abordaje del colangiocarcinoma. Revista Médica Sinergia. Vol. 5 No 6, 2020. [Citado 3 Abr 2022]. Disponible en: https://dialnet.uniroja.es/servlet/articulo?codigo=7445655

Pérez Navarro JV, Tello Barba IM, Anaya-Prado R et al. Colangiocarcinoma, una revisión de retos en diagnóstico y manejo. Elsevier Vol. 36. No 1 Pág. 48-57. [Citado 3 Abr 2022]. Disponible en: https://elsevier.es/es-revista-cirujano-general-218-articulo-colangiocarcinoma-una-revision-retos-diagnostico-X1405009914552009

Petrick JL, Thistle JE, et al. Body mass index, diabetes and intrahepatic cholagiocarcinoma risk: the liver cancer pooling project and meta-analysis. Am J Gastroenterol. 2018 Oct; 113 (10):1494-1505. [Citado 3 Abr 2022]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521884

Morales Cruz M, Armillas Canseco F, et al. Valor pronóstico de margen quirúrgico positivo tras la resección de un colangiocarcinoma. Experiencia de un centro de alto volumen en cirugía hepatopancreatobiliar. Revista de Gastroenterología de México 85 (1), 18-24, 2020. [Citado 3 Abr 2022]. Disponible en: https://www.sciencedirect.com/science/article/pii/S2255534X19301185

Banalkes JM, Iñarrairaeigui M, Arbelaiz A et al. Serum metabolites as diagnostic biomarkers for cholangiocarcinoma, hepatocellular carcinoma, and Primary Sclerosing Cholangitis. Hepatology Volume 70, Issue 3, p. 547-562 2018. [Citado 4 Abr 2022]. Disponible en: https://aasldpubs.onlinelibrary.wiley.com/doi/full/10.1002/hep.30319

Holzner ML, Tabrizian Parissa, et al. Resection of Mixed Hepatocellular-Cholangiocarcinoma, Hepatocellular carcinoma, and Intrahepatic Cholangiocarcinoma. Liver transplantation 26 (7), 888-898, 2020. [Citado 3 Abr 2022]. Disponible en: https://aasldpubs.onlinelibrary.wiley.com/doi/abs/10.1002/lt.25786

Ramai D, Ofosu A, Lai JK, et al. Combined Hepatocellular-Cholangiocarcinoma: a population-based retrospective study. The American Journal of Gastroenterology. Sept 2019 Vol 114, Issue 9, p.1496-1501. [Citado 4 Abr 2022]. Disponible en: https://journals.lww.com/ajg/Abstract/2019/09000/Combined_Hepatocellular_Cholangiocarcinoma_A.18.aspx

Lin CW, Wu TS, Lin HY et al. Clinical features and outcomes of combined hepatocellular carcinoma and cholangiocarcinoma versus hepatocellular carcinoma versus cholangiocarcinoma after surgical resection: a propensity score matching analysis. BMC Gastroenterol 21, 20 (2021). [Citado 4 Abr 2022]. Disponible en: https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-020-01586-4

Tang Y, Wang L, Teng Fei et al. The clinical characteristics and prognostic factors of combined hepatocellular carcinoma and cholangiocarcinoma, hepatocellular carcinoma and intrahepatic cholangiocarcinoma. Medicine 98 (38), 2019. [Citado 4 Abr 2022]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756736/

Lo EC, Rucker AN, Federle MP Hepatocellular carcinoma and intrahepatic cholagiocarcinoma: imaging for diagnosis, tumor response to treatment and Liver Response to Radiation. Seminars in Radiation Oncology, Vol 28, Issue 4, 208, p.267-276. [Citado 4 Abr 2022]. Disponible en: https://www.sciencedirect.com/science/article/pii/S1053429618300559

Published

2025-06-19

How to Cite

1.
Bory Porras LG, Martínez García D, Ortega Rodríguez M, Fábregas Valle Y, Ortiz Benet RY. Cholangiohepatocarcinoma as a second primary tumor. Rev Cub Oncol [Internet]. 2025 Jun. 19 [cited 2025 Jul. 1];22. Available from: https://revoncologia.sld.cu/index.php/onc/article/view/86997

Issue

Section

Reportes de casos