Mass-forming intrahepatic cholangiocarcinoma with portal vei
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We report the first case of mass-forming intrahepatic cholangiocarcinoma (ICC) with portal vein tumor thrombus (PVTT) and bile duct tumor thrombus (BDTT), where the extrahepatic bile duct was preserved with thrombectomy.

Presentation of case:
A 70-year-old male. Magnetic resonance imaging (MRI) showed the tumor extending from the hepatic hilum to the left hepatic duct with complete obstruction of the left hepatic duct and a defect at the left portal vein.Intraoperative cholangiography revealed a crab claw-like filling defect at the left hepatic duct, which suggested tumor thrombus. Accordingly, thrombectomy was performed. The margin of the left hepatic duct was tumor negative, so extended left lobectomy, lymph node dissection and thrombectomy were performed. Pathologically, the tumor was diagnosed as ICC. Tumors in the left hepatic duct and left portal vein proved to be tumor thrombus. The postoperative course was uneventful. He is doing well without recurrence...

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