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

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Menu of Radiologic Tests for Work- up of Biliary Obstruction Ultrasound (US) Transabdominal (TA US) Endoscopic (EUS) Computed Tomography (CT) Endoscopic Retrograde Cholangiopancreatography (ERCP) Magnetic Resonance Imaging (MRI) Magnetic Resonance Cholangiopancreatography (MRCP) 8
Patient KR: Biliary Dilatation on RUQ US A P TA US, sagittal, patient KR Image Source: BIDMC (PACS) TA US: Bile ducts appear as tubular, branching lucencies Moderate intrahepatic ductal dilation No evidence of choledocholithiasis Not sensitive in the diagnosis of distal CBD stones due to gas in duodenum Dilated bile ducts signify distal biliary obstruction 9
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: Review of Biliary Anatomy Plate 260
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 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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