Case 298 Medical history A 68-year-old male patient sought medical attention complaining of abdominal pain in the right hypochondrium for 2 days, associated with jaundice and pruritus for 24 hours. He also reported weight reduction from 95 kg to 85 kg in the last 6 months. He stopped smoking and alcohol consumption 17 years ago. He denied other comorbidities, surgeries and history of similar symptoms. Magnetic resonance (MR) cholangiography and computed tomography (CT) of the abdomen were requested sequentially. T2-weighted MR cholangiography in the coronal oblique plane.T2-weighted magnetic resonance imaging of the upper abdomen, axial acquisition.Computed tomography (CT) of the abdomen, transverse section, after intravenous iodinated contrast medium administration during arterial phase.Computed tomography (CT) of the abdomen, transverse section, after intravenous iodinated contrast medium administration during portal phase. Question:According to the patient's clinical history and the imaging tests performed, the most likely diagnosis is: a) Hepatocellular Carcinoma b) Cholangiocarcinoma c) Sclerosing cholangitis d) Mirizzi syndrome Test question Question:(UFPI - R3 in Surgery - 2016) Regarding cholangiocarcinoma, it is INCORRECT to state: a) It is more common in women. b) It may be associated with primary sclerosing cholangitis. c) It is more frequent in the bifurcation of the hepatic ducts. d) Tumor marker levels such as CEA and CA 19-9 are often elevated. e) The prognosis after surgical resection depends on its location. Time is Up! Time's up
