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

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Patient 3: Dilated Bile Ducts and CHD Stricture on MRCP MRCP, patient HK Image Source: BIDMC (PACS) Dilated intrahepatic bile ducts Long CHD stricture extending to CBD Incidental finding: Pancreatic cysts (IPMT) Biopsy-proven diagnosis: adenocarcinoma Klatskin cholangiocarcinoma 34
Summary (1) Cholangiocarcinoma can be a challenging radiographic diagnosis, and an even more challenging cancer to treat. 3 classificaitons of cholangiocarcinoma: Intrahepatic Hilar (including Klatskin) Extrahepatic Hilar cholangiocarcinomas are further subclassified based on specific ductal involvement, by the Bismuth-Corlette classification system 35
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 and 20: Bismuth-Corlette Classification Hi
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: Patient 3: Liver Metastasis on HAST
Page 37 and 38: References Anderson C and stuart K

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