A liver lesion in primary sclerosing cholangitis. (31st March 2015)

• Record Type: Journal Article
• Authors: Biswas, Sujata; Rajoriya, Neil; Wang, Lai Mun; Collier, Jane
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-03-31
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-207685
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Primary sclerosing cholangitis is associated with an increased risk of cholangiocarcinoma; appropriate surveillance should be undertaken for this. Our case illustrates an unexpected liver lesion in such a patient, which would not have been detected with imaging alone. In suspected cancer, if a patient is not a candidate for liver resection, liver biopsy should be considered in case there is a treatment option for an alternative cause of the liver lesion. This is a careful decision to be made due to the risk of tumour seeding compromising cure and needs to be discussed via the hepatobiliary multidisciplinary team.