Table 1.
Type | iCCA | eCCA | |
---|---|---|---|
Small Duct | Large Duct | d + p CCA | |
Cells of origin | Interlobular bile duct | Peribiliary glands | Cholangiocytes Peribiliary glands |
morphology | Small duct with cubic cells and little mucosecretion | Large duct or papillae lined with mucus secreting columnar cells | Same than large duct iCCA |
phenotype | Cytoplasmic expression of CK7 and CK19 | ||
Expression of CRP, N-cadherin and CD56 | Expression of S100P, MUC5AC and MUC6 | Same than large duct iCCA | |
extension | High frequency of SN Low frequency of PNI Vascular invasion Metastatic lymph node |
Low frequency of SN and high frequency of PNI Hepatic infiltration |
Same than large duct iCCA |
Molecular alterations | IDH1/2, BRCA1/2 and BAP 1 mutations, FGFR2 fusion | KRAS, TP53 mutations | Same than large duct iCCA with an higher frequency of KRAS mutations |
iCCA: intrahepatic CC, eCCA: extrahepatic CC, CK: cytokeratin, CRP: c reactive protein, SN: satellite nodule, PNI: perineural invasion.