Cholangiocarcinoma other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2] [3], Suveenkrishna Pothuru, M.B,B.S. [4]

Overview[edit | edit source]

Other imaging studies for cholangiocarcinoma include endoscopic retrograde cholangiopancreatography, endoscopic ultrasound, percutaneous transhepatic cholangiography, and MRCP.

Other Imaging Findings[edit | edit source]

Endoscopic retrograde cholangiopancreatography (ERCP)[edit | edit source]

While abdominal imaging can be useful in the diagnosis of cholangiocarcinoma, direct imaging of the bile duct is often necessary. Endoscopic retrograde cholangiopancreatography (ERCP) has been widely used for this purpose. Although ERCP is an invasive procedure with attendant risks, its advantages include:

  • Evaluating the bile duct
  • Obtaining a biopsy
  • Helping for plan surgery
  • Place a small tube (stent) into the bile duct to relieve a blockage caused by a tumor

Endoscopic Ultrasound[edit | edit source]

  • Performed at the time of ERCP
  • Increase the accuracy of the biopsy and yield information on lymph node invasion and operability [1]

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Percutaneous Transhepatic Cholangiography (PTC)[edit | edit source]

  • Alternative technique for ERCP

Direct Cholangiography[edit | edit source]

  • Evaluation of the the biliary tree
  • Planning treatment as assessing for resectability

Magnetic resonance cholangiopancreatography (MRCP)[edit | edit source]

References[edit | edit source]

  1. Sugiyama M, Hagi H, Atomi Y, Saito M. "Diagnosis of portal venous invasion by pancreatobiliary carcinoma: value of endoscopic ultrasonography". Abdom Imaging. 22 (4): 434–8. PMID 9157867.
  2. Schwartz L, Coakley F, Sun Y, Blumgart L, Fong Y, Panicek D (1998). "Neoplastic pancreaticobiliary duct obstruction: evaluation with breath-hold MR cholangiopancreatography". AJR Am J Roentgenol. 170 (6): 1491–5. PMID 9609160.
  3. Yeh T, Jan Y, Tseng J, Chiu C, Chen T, Hwang T, Chen M (2000). "Malignant perihilar biliary obstruction: magnetic resonance cholangiopancreatographic findings". Am J Gastroenterol. 95 (2): 432–40. PMID 10685746.
  4. Freeman M, Sielaff T (2003). "A modern approach to malignant hilar biliary obstruction". Rev Gastroenterol Disord. 3 (4): 187–201. PMID 14668691.

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