Metastatic Klatskin tumor with tumor thrombus of the portal vein

Case contributed by Akos Jaray
Diagnosis certain


Known infiltrative central cholangiocellular carcinoma with rapid progression and jaundice.

Patient Data

Age: 60 years
Gender: Male

Necrotic, irregular tumor mass of the liver extending into the portal vein (tumor thrombus). Subsequent prominent dilation of the intrahepatic bile ducts. Liver metastases. Large metastatic lymph nodes in the liver hilum. Posterior mediastinal metastatic lymph nodes. Bilateral adrenal diffuse thickening (more on the right side), likely metastatic. Mild abdominal and pelvic ascites. Small sliding hiatus hernia.

NB: Small tumor thrombus extending into the inferior vena cava.

Case Discussion

Infiltrative hilar cholangiocarcinoma is an aggressive malignancy. The presence of peripheral biliary duct dilation and tumor thrombus is more likely than in hepatocellular carcinoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.