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

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TNM Tumor Staging Stage Grouping: Stage I: T1 N0 M0 Stage II: T2 N0 M0 Stage IIIA: T3 N0 M0 Stage IIIB: T4 N0 M0 Stage IIIC: any T N1 M0 Stage IV: any T any N M1 T0 No evidence of primary tumor T1 Solitary tumor w/o vascular invasion T2 Solitary tumor with vascular invasion, or multiple tumors 5cm or tumor involving major branch of portal or hepatic veins T4 Tumors with direct invasion of adjacent organs other than the gallbladder or with perforation of the visceral peritoneum N0 No regional lymph node metastasis N1 Regional lymph node metastasis M0 No distant metastasis M1 Distant metastasis 20
Surgical resection is the only curative method for cholangiocarcinoma Unfortunately, at the time of presentation, most patients have locally advanced disease that is not surgically resectable Criteria for surgical resectability are based on anatomical structures involved in tumor growth 21
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 and 18: Common Clinical Manifestations Sym
Page 19: Bismuth-Corlette Classification Hi
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

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

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