{Reference Type}: Journal Article {Title}: Combined Hepatocellular-Cholangiocarcinoma: An Update on Pathology and Diagnostic Approach. {Author}: Choi JH;Ro JY;Choi JH;Ro JY;Choi JH;Ro JY; {Journal}: Biomedicines {Volume}: 10 {Issue}: 8 {Year}: Jul 2022 29 {Factor}: 4.757 {DOI}: 10.3390/biomedicines10081826 {Abstract}: Combined hepatocellular-cholangiocarcinoma (cHCC-CCA) is a rare primary liver carcinoma displaying both hepatocytic and cholangiocytic differentiation within the same tumor. Relative to classic hepatocellular carcinoma (HCC), cHCC-CCA has more aggressive behavior and a poorer prognosis. Though recent advances have improved our understanding of the biology underlying cHCC-CCAs, they remain diagnostically challenging for pathologists because of their morphologic and phenotypic diversity. Accurate diagnosis of cHCC-CCA is important for patient management and prognostication. Herein, we review recent updates on cHCC-CCA, focusing on tumor classification, pathology, and diagnostic approach.