胆管癌在胆道系统疾病中诊断较为困难 ,而临床诊断后病理误诊的病例较为少见 ,有一例病人出现类似情况 ,现报道如下。病人 ,男性 ,4 4岁 ,因进行性黄疸伴肝区胀痛 1个月入院。查体 :生命体征平稳 ,皮肤巩膜深度黄染 ,皮肤有多处抓痕 ,浅表淋巴结未见肿大 ,腹部发现肝脏剑下 3cm Cholangiocarcinoma in the diagnosis of biliary system disease is more difficult, and clinical diagnosis of pathological misdiagnosis of cases is relatively rare, a case of a similar situation, are reported below. Patients, men, 4 4 years old, due to progressive jaundice with liver pain in one month hospitalization. Physical examination: stable vital signs, skin sclera depth of yellow dye, multiple scratches on the skin, superficial lymph nodes were not enlarged, abdominal found that the sword under the sword 3cm