Facial Swelling as a Presenting Sign of Cholangiocarcinoma

Cholangiocarcinoma is a rare primary malignancy of the biliary tree, which usually presents late in course disease with jaundice, upper right quadrant pain, and cachexia. They frequently metastasise lungs, liver, bones, adrenals, peritoneum, retroperitoneal lymph nodes. The incidence cutaneous dissemination from cholangiocarcinoma extremely rare, scalp being commonest distant site skin metastasis. authors report case 44-year-old female Stage IV hilar cholangiocarcinoma, who presented primarily tender facial swelling, prompting investigation subsequent diagnosis. To authors’ knowledge, this first presenting as It highlights need for early characterisation lesions, are likely to be neoplastic origin using histology, immunohistochemistry, PET-CT scans, reminds that tree neoplasms possible malignancies cases metastasis, especially head neck region.