肝胆管囊腺癌是肝内罕见占位病变 ,笔者遇见 1例 ,报告如下。患者　男 ,42岁。因上腹胀 1年 ,加重伴乏力食欲不振 2 0天 ,突发高热 39℃入院。患病以来无腹痛及皮肤黄染 ,既往有乙肝病史。Ｂ超示“肝内有巨大囊性病变”。Ｂ超引导穿刺引流出胆汁30 0 0ｍｌ,临床初步诊断为Ｃａ Hepatobiliary cystadenocarcinoma is a rare intrahepatic lesions, the author met in 1 case, the report is as follows. Male patient, 42 years old. 1 year due to abdominal distension, aggravated with fatigue, loss of appetite 20 days, sudden fever 39 ℃ admission. Since the onset of abdominal pain and skin yellow dye, past history of hepatitis B. B ultrasound shows “a huge cystic lesions within the liver.” B-guided drainage puncture 30 0 0ml, initial clinical diagnosis of Ca