Lymphoepithelioma-like cholangiocarcinoma mimicking hepatocellular carcinoma

Lymphoepithelioma like cholangiocarcinoma (LELCC) is a rare low-grade malignancy with a favorable prognosis. This sarcoma has a strong association with Epstein-Barr virus (EBV). Most of these have been benign, with some malignant instances noted as well. In our case, this tumor exhibited imaging characteristics of HCC. When patients showed recurrent tonsillitis at an early age, AFP did not change significantly, and there was no previous history of hepatitis B. In such scenario, diagnosis of LELCC should be considered.