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Combined hepatocellular carcinoma and cholangiocarcinoma (cHC) is a well-known, uncommon disease. Sarcomatoid changes in this combined tumor are even less common with the clinical features remaining largely unknown. Herein, we report a patient with sarcomatoid cHC and spontaneous intra-tumor hemorrhage that necessitated emergency palliative tumor resection.

Sarcomatoid combined hepatocellular carcinoma and cholangiocarcinoma of liver with spontaneous intra-tumor bleeding: a case report