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Combined hepatocellular cholangiocarcinoma: Controversies to be addressed

Combined hepatocellular cholangiocarcinoma(CHC) accounts for 0.4%-14.2% of primary liver cancer cases and possesses pathological features of both hepatocellular carcinoma and cholangiocarcinoma. Since this disease was first described and classified in 1949, the classification of CHC has continuously...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2016-05, Vol.22 (18), p.4459-4465
Main Authors: Wang, An-Qiang, Zheng, Yong-Chang, Du, Juan, Zhu, Cheng-Pei, Huang, Han-Chun, Wang, Shan-Shan, Wu, Liang-Cai, Wan, Xue-Shuai, Zhang, Hao-Hai, Miao, Ruo-Yu, Sang, Xin-Ting, Zhao, Hai-Tao
Format: Article
Language:English
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Summary:Combined hepatocellular cholangiocarcinoma(CHC) accounts for 0.4%-14.2% of primary liver cancer cases and possesses pathological features of both hepatocellular carcinoma and cholangiocarcinoma. Since this disease was first described and classified in 1949, the classification of CHC has continuously evolved. The latest definition and classification of CHC by the World Health Organization is based on the speculation that CHC arises from hepatic progenitor cells. However, there is no evidence demonstrating the common origin of different components of CHC. Furthermore, the definition of CHC subtypes is still ambiguous and the identification of CHC subtype when a single tumor contains many components has remained unresolved. In addition, there is no summary on the newly recognized histopathology features or the contribution of CHC components to prognosis and outcome of this disease. Here we provide a review of the current literature to address these questions.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v22.i18.4459