Contrast-enhanced Ultrasound Features of Lymphoepithelioma-Like Cholangiocarcinoma with Multiple Metastases: A Case Report

doi:10.37015/AUDT.2021.210027

Advanced Ultrasound in Diagnosis and Therapy ›› 2022, Vol. 6 ›› Issue (3): 122-124.doi: 10.37015/AUDT.2021.210027

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Contrast-enhanced Ultrasound Features of Lymphoepithelioma-Like Cholangiocarcinoma with Multiple Metastases: A Case Report

Guiwu Chen, MS^a, Wenqin Liu, MS^a, Zhizhong He, PhD^a, Xiaomin Liao, MS^b, Yuhuan Xie, PhD^a^,^*()

^a Department of Ultrasound, Affiliated Dongguan Hospital, Southern Medical University, Dongguan, China
^b Department of Pathology, Affiliated Dongguan Hospital, Southern Medical University, Dongguan, China

Received:2021-09-06 Revised:2021-09-27 Online:2022-09-30 Published:2022-08-08
Contact: Yuhuan Xie, PhD, E-mail:xieyuhuan0989@163.com

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Abstract

Abstract:

Lymphoepithelioma-like cholangiocarcinoma (LEL-CC) is an intrahepatic cholangiocarcinoma with a prominent lymphoid infiltrate. According to previous reports, most LEL-CCs are a single lesion with a notably better prognosis compared to typical liver cancers. However, most literature reported pathological features and lacked imaging features, especially that of ultrasound. We report on a 74-year-old female with LEL-CC presented with headache and malaise for six months. We performed superficial ultrasonography, abdominal ultrasonography, hepatic contrast-enhanced ultrasound, positron emission tomography-computed tomography, and ultrasound-guided biopsy. We definitively diagnosed LEL-CC with multiple metastases in the liver, skeleton, and lymph nodes.

Key words: Ultrasonography; Contrast-enhanced imaging; Cholangiocarcinoma; Liver; Metastasis

Guiwu Chen, MS, Wenqin Liu, MS, Zhizhong He, PhD, Xiaomin Liao, MS, Yuhuan Xie, PhD. Contrast-enhanced Ultrasound Features of Lymphoepithelioma-Like Cholangiocarcinoma with Multiple Metastases: A Case Report. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(3): 122-124.

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Contrast-enhanced Ultrasound Features of Lymphoepithelioma-Like Cholangiocarcinoma with Multiple Metastases: A Case Report

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