COMBINED HEPATOCELLULAR-CHOLANGIOCARCINOM A WITH METASTASES AND HYPERCALCEMIA

The combined hepatocellular-cholagiocarcinoma (CHCC) is a very uncommo n neoplasm, its diagnosis is difficult and its course is usually very rapid. We report the case of a patient with CHCC type II or transition al tumor, which shows two cellular types in certain zones. Our patient had tumoral hypercalcemia as well, which was very difficult to contro l. There was a metastatic spread with cholangiolar features almost fro m the begining, that made impossible any sort of therapy. It seems tha t disemination followed lymphatic pathways.