Cholangiocarcinoma and brain lesions: an extremely rare finding

A 55-year-old man with a medical history of intrahepatic cholangiocarcinoma treated with gemcitabine and cisplatin with tumour chemoembolisation. However, the patient failed the initial therapy and was subsequently switched to fluorouracil and oxaliplatin with folinic acid. CT of the chest and abdomen showed new lesions consistent with metastatic disease in the liver and lungs and worsening ascites. In February 2013, the patient was admitted to the hospital because of progressive left upper extremity weakness and a mechanical fall. The …