Genomic analysis of intrahepatic cholangiocarcinoma (ICC) samples (from 149 patients) has revealed two distinct ICC classes, each distinguishable by their molecular signature and outcomes. The 'proliferation' class (62% of ICCs) were characterized by, among others, activation of oncogenic signalling pathways as well as KRAS and BRAF mutations and, importantly, associated with poor outcome. The remaining 38% of ICCs were designated the 'inflammation' group, characterized by activation of inflammatory signalling.