Klatskin tumor

Case contributed by Mohammad Taghi Niknejad
Diagnosis probable

Presentation

Abdominal pain and jaundice.

Patient Data

Age: 70 years
Gender: Female
mri
This study is a stack
Axial
T2
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Coronal
T2_hasteirm_cor_mbh
This study is a stack
Axial
T2_trufi_tra_bh
This study is a stack
Axial T1
fat sat
This study is a stack
Coronal
T2
This study is a stack
Coronal T2
fat sat
This study is a stack
Axial
T2
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Info

There is moderate to severe dilatation at intrahepatic bile ducts. Cut off is seen at the proximal portion of the right and left hepatic ducts. CHD does not appear, and the distal part of CBD shows normal caliber.

The gallbladder is not seen because of prior surgery.

Case Discussion

Features on MR images are most compatible with the Klatskin tumor, which is a hilar cholangiocarcinoma, occurring at the bifurcation of the common hepatic duct. Typically, these tumors are small, poorly differentiated, exhibit aggressive biologic behavior, and obstruct the intrahepatic bile ducts.

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