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Updated: Jul 6, 2026

Complete Laparoscopic Radical Resection of Perihilar Cholangiocarcinoma Type IIIb
Published on: January 17, 2025
Distinguishing post-treatment changes from recurrent disease in cholangiocarcinoma: a case report
Timothy N Showalter1, A Omer Nawaz, Frederick M Fellin
1Department of Radiation Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. timothy.showalter@jeffersonhospital.org
Introduction:
Three-dimensional techniques for radiotherapy have expanded possibilities for partial volume liver radiotherapy. Characteristic, transient radiographic changes can occur in the absence of clinical radiation-induced liver disease after hepatic radiotherapy and must be distinguished from local recurrence.
Case Presentation:
In this report, we describe computed tomography changes after chemoradiotherapy for cholangiocarcinoma as an example of collaboration to determine the clinical significance of the radiographic finding.
Conclusion:
Because of improved three-dimensional, conformal radiotherapy techniques, consultation across disciplines may be necessary to interpret post-treatment imaging findings.
