Galweg- en Galblaascarcinoom - Genootschap van Maag-Darm ...

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N - Regional Lymph Nodes NX Regional lymph nodes cannot be assessed N0 No regional lymph node metastasis N1 Regional lymph node metastasis including nodes along the cystic duct, common bile duct, common hepatic artery, and portal vein M - Distant Metastasis M0 No distant metastasis M1 Distant metastasis pTNM Pathological Classification The pT en pN categories correspond to the T and N categories. Histological examination of a regional lymphadenectomy specimen will ordinarily include 15 or pN0 more lymph nodes. If the regional lymph nodes are negative, but the number ordinarily examined is not met, classify as pN0 pM1 Distant metastasis microscopically confirmed pM0 and pMX are not valid categories. G Histopathological Grading GX Grade of differentiation cannot be assessed G1 Well differentiated G2 Moderately differentiated G3 Poorly differentiated G4 Undifferentiated Stage Grouping Stage 0 Tis N0 M0 Stage I T1 N0 M0 Stage II T2a, T2b N0 M0 Stage IIIA T3 N0 M0 Stage IIIB T1, T2, T3 N1 M0 Stage IVA T4 N0, N1 M0 Stage IVB Any T Any N M1 Summary T1 Ductal wall T2a Beyond ductal wall T2b Adjacent hepatic parenchyma T3 Unilateral branches of portal vein or hepatic artery T4 Main portal vein; bilateral branches; common hepatic artery; second-order biliary radicals bilaterally; unilateral second-order biliary radicals with contralateral portal vein or hepatic artery involvement N1 Nodes along cystic duct, common bile duct, common hepatic artery, portal vein Classificatie van Bismuth Corlette Richtlijn: Galweg- en Galblaascarcinoom (2.0) 06/27/13 Galweg- en Galblaascarcinoom (2.0) 40
Classificatie van proximale galwegcarcinomen (klatskin-tumoren) volgens Bismuth-Corlette 145 type I tumor juist distaal van de confluens van rechter en linker d. hepaticus type II tumor reikt voorbij de confluens tot in de linker en rechter d. hepaticus type III type IV Richtlijn: Galweg- en Galblaascarcinoom (2.0) doorgroei van de tumor tot in de tweede segmentele splitsing van de linker (IIIb) of rechter (IIIa) d. hepaticus in de lever doorgroei van de tumor tot in de tweede segmentele splitsing van de linker en rechter d. hepaticus in de lever 06/27/13 Galweg- en Galblaascarcinoom (2.0) 41
Page 1 and 2: Galweg- en Galblaascarcinoom Landel
Page 3 and 4: Algemeen Literatuurbespreking: Aanl
Page 5 and 6: Betrokken verenigingen/instanties (
Page 7 and 8: cholangitis mag niet leiden tot een
Page 9 and 10: Er wordt geadviseerd te starten met
Page 11 and 12: meestal lastig te verkrijgen met FN
Page 13 and 14: Behandeling Literatuurbespreking: D
Page 15 and 16: De werkgroep is van mening dat de r
Page 17 and 18: Richtlijn: Galweg- en Galblaascarci
Page 21 and 22: T1b galblaascarcinoom De werkgroep
Page 23 and 24: • goede inschatting van de restle
Page 25 and 26: Pathologie Literatuurbespreking: Di
Page 27 and 28: • PSC of andere chronische ontste
Page 33 and 34: • Zorg voor overdracht naar de hu
Page 39 and 40: Implementatie en evaluatie Literatu
Page 41: G3 Poorly differentiated G4 Undiffe
Page 45 and 46: 14 - Brown KM Brown KM, Geller DA.
Page 51 and 52: 99 - Park HS Park HS, Lee JM, Choi
Page 55 and 56: Yamaguchi K, Chijiiwa K, Saiki S, N
Page 57 and 58: Bijlagen 1. Leden van de werkgroep
Page 61 and 62: Literatuur Richtlijn Herstel na kan
Page 63: Disclaimer Disclaimer: De informati

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