PMC5832400_01
Magnetic resonance imaging (MRI) of the liver showing mass in relation (arrows) to portal vessels.
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FIG1
An MRI of the abdomen was obtained to further characterize the liver and gallbladder changes, which ruled out additional lesions in the liver (Figures 1-2).
Magnetic resonance imaging (MRI) with no portal or hepatic vessel spread (arrows)
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FIG2
An MRI of the abdomen was obtained to further characterize the liver and gallbladder changes, which ruled out additional lesions in the liver (Figures 1-2).
Ultrasound-guided core needle biopsy obtained from the hepatic mass. Upper left: Liver squamous cell (SCC) islands with necrosis in the gallbladder wall; Upper right: mitotic figures and pleomorphism, hematoxylin and eosin (H&E) 50X; Lower panel: squamous cells islands (black arrow) in liver (red arrow), H&E 100X
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FIG3
There were trapped bile ducts in many areas, but no convincing glandular component to the tumor (Figure 3).
Resected gallbladder mass
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FIG4
A laparotomy with a central hepatectomy (segmentectomy Iva, IVb, V, and VIII) with en bloc cholecystectomy and hepatoduodenal lymphadenectomy were performed (Figures 4-5). 
Liver mass (arrows) with resection of affected segments
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FIG5
A laparotomy with a central hepatectomy (segmentectomy Iva, IVb, V, and VIII) with en bloc cholecystectomy and hepatoduodenal lymphadenectomy were performed (Figures 4-5). 