Do you give adjuvant chemotherapy for an incidental cholangiocarcinoma found at time of liver transplant (done for HCC or other reason) in the explanted liver?   

I am not sure I would offer chemo here. You don’t state the T stage of the tumor or if nodes were involved, both of which are critical in understanding the risk of relapse. Regardless, chemo in someone who is in the fragile state of a newly transplanted liver has a risk of the chemo causing re...