Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

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Tumor Classification Intrahepatic (Peripheral): small intrahepatic ductules (5-10%) Hilar: extrahepatic ductules (including confluence) up to point where common bile duct lies posterior to duodenum (60-70%) Klatskin: involving confluence of left and right hepatic ducts Extrahepatic (Distal): originate in extrahepatic biliary duct after CBD travels posterior to duodenum (20-30%) Patel T (2006) Cholangiocarcinoma Nat Clin Pract Gastroenterol Hepatol 3: 33–42 doi:10.1038/ncpgasthep0389 18
Bismuth-Corlette Classification Hilar cholangiocarcinomas are further sub-classified based on the specific ducts involved Type I Type II Type IIIa Type IIIb Type IV Type IV is important because it involves both left and right hepatic ducts and therefore is unresectable. Patel T (2006) Cholangiocarcinoma Nat Clin Pract Gastroenterol Hepatol 3: 33–42 doi:10.1038/ncpgasthep0389 19
Page 1 and 2: Klatskin tumors and other cholangio
Page 3 and 4: Index Patient: KR 53M presented to
Page 5 and 6: Patient KR: Conjugated Hyperbilirub
Page 7 and 8: Review of Biliary Anatomy Plate 260
Page 9 and 10: Patient KR: Biliary Dilatation on R
Page 11 and 12: Patient KR: Hilar Stricture on ERCP
Page 13 and 14: Patient KR: Bile Duct Dilatation an
Page 15 and 16: Cholangiocarcinoma: Pathogenesis an
Page 17: Common Clinical Manifestations Sym
Page 21 and 22: Surgical resection is the only cura
Page 23 and 24: Criteria for Resectability of Hilar
Page 25 and 26: Example of Unresectable Tumor: Celi
Page 27 and 28: Discussion of Companion Patients 27
Page 29 and 30: Patient 2: Hyper-enhancement on Del
Page 31 and 32: Patient 2: Gallbladder Wall Invasio
Page 33 and 34: Patient 3: Liver Metastasis on HAST
Page 35 and 36: Summary (1) Cholangiocarcinoma can
Page 37 and 38: References Anderson C and stuart K

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