Table 1. Histological subtypes and pathological characteristics of iCCA.
Histological subtype | Large duct type iCCA | Small duct type iCCA |
---|---|---|
Gross pattern | Peritubular infiltrating pattern, mixed pattern | Mass forming pattern |
Cell morphology | Columnar-cuboidal | Cuboidal-low columnar |
Tissue structure | Irregular large ductal or tubular adenocarcinoma | Dense small ductal adenocarcinoma |
Invasiveness | ++ – +++ | – –+ |
Mucus staining | ++ – +++ | – –+ |
Immunohistochemistry | S100P, MUC5AC, MUC6, TFF1 | CRP, N-cadherin, CD56 |
Genetic variation | KRAS gene mutation | IDH1/2 gene mutation, FGFR2 gene fusion/rearrangement |
iCCA, intrahepatic cholangiocarcinoma; S100P, S100 calcium-binding protein P; MUC, mucin; TFF, trefoil factor 1; CRP, C-reactive protein; CD56, cluster of differentiation 56.