Table 3

WHO classification of biliary malignancies22–26

BenignPremalignantMalignant
Tumours of intrahepatic bile ducts
 Bile duct adenomaBiliary intraepithelial neoplasiaIntrahepatic cholangiocarcinoma
 Microcystic adenomaIntraductal papillary neoplasmIntraductal papillary neoplasm with associated invasive neoplasia
 Biliary adenofibromaMucinous cystic neoplasmMucinous cystic neoplasm with associated invasive neoplasia
PremalignantCarcinoma
Tumours of extrahepatic bile ducts
 AdenomaAdenocarcinoma
 Biliary intraepithelial neoplasiaAdenosquamous carcinoma
 Intracystic (gall bladder) or intraductal (bile duct) papillary neoplasmIntracystic (gall bladder) or intraductal (bile duct) papillary neoplasm + associated invasive neoplasia
 Mucinous cystic neoplasmMucinous cystic neoplasm with associated invasive neoplasia
Squamous cell carcinoma
Undifferentiated carcinoma