Biliary cancers: imaging diagnosis. Study of 30 cases
|
|
- Chrystal Ferguson
- 6 years ago
- Views:
Transcription
1 Biliary cancers: imaging diagnosis. Study of 30 cases N Hammoune, S Semlali, M Eddarai, T. Amil, M Zentar, S. El Kandri,, M Benameur,, S Chaouir. Radiology Department. Mohamed V Military Hospital. Rabat- Morocco
2 Introduction Biliary cancers: carcinoma of the gallbladder as well as the intrahepatic, hilar and extrahepatic bile ducts. Familiarity with the imaging characteristics of gallbladder and biliary duct cancers is important to expedite the diagnosis and appropriate treatment.
3 Methods and Materials: In this study, we analyzed the diagnosis imaging of 30 consecutive patients with biliary cancers (gallbladder, intra and extra hepatic bile duct) All patients underwent ultrasonography and multidetector-ct. Endoscopic retrograde cholangiography (ERC) in 12 cases MR cholangiopancreatography in 10 cases
4 Results Characteristics of the series They were 19 men and 11 women, with an average age of 62 years. The tumor was revealed by : Cholestatic jaundice Abdominal pain weight loss
5 Results Imaging Dilation of the intrahepatic bile ducts: n =28 hilaire process: n = 10 intra-hepatic Process: n = 7 gallbladder Process: n =6 liver metastasis: (n=6) vascular invasion: (n=6) peritoneal effusion: (n=1) abdominal wall invasion: (n= 1)
6 Results Anatomopathologic study The anatomopathologic confirmation was obtained in all the cases: Hilar and intrahepatic cholangiocarcinoma n=17. Extrahepatic biliary duct carcinoma n=9. carcinoma of the gallbladder in 6 patients.
7 Discussion
8 1-Gallbladder carcinoma Malignant tumor of the biliar tract occurs in adults> 60 years, Female prevalence sex ratio: 3 / 1 manifested by: right-sided epigastric pain, weight loss jaundice. poor prognosis.
9 1-gallbladder carcinoma Three forms in imaging: Endoluminal mass filling the gallbladder light, often irregular limited, a gallstone disease was found in 30 to 50%. Parietal thickening thickened located, irregular, clearly visible from the bottom gallbladder, sometimes is difficult to distinguish a cholecystitis Polypoid mass endoluminal: echogenic albeit limited bottom gallbladder. echogenic mass,
10 Gallbladder carcinoma. Abdominal CT: Heterogeneous lesion process of the gallbladder with anterior abdominal wall extension.
11 Gallbladder carcinoma. Abdominal CT: organic process filling the gallbladder, with antral stomach extension and circumferential thickening. There exists also a thrombosis of the portal vein and mesenteric higher.
12 1-Gallbladder carcinoma Ultrasonography (US) and computed tomography (CT) are primary imaging modalities. The assessment of loco-regional extension searches: Hepatic involvement by contiguity or metastases. Biliary tract involvement : a mass of hilar or pedicle with dilation of the intrahepatic bile ducts (contra- indicate the surgical gesture). Lymph nodes. Extension to the digestive tract or more rarely the pancreas.
13 2- Intra-hepatic Cholangiocarcinoma Carcinoma with varying degrees of differentiation. Particular ground: sclerosing cholangitis, Caroli's disease, intra-hepatic gallstone. Clinic nonspecific: : abdominal pain, weakness, jaundice.
14 2- Intra-hepatic Cholangiocarcinoma CT: Hypodense lesion not encapsulated +/- calcification Peripheral centripetal enhancement, fine and not very intense on the portal and arterial time. It is sometimes visible only on the late section. MRI: Non-encapsulated lesion, with lobules contours, hypointense en T1-weighted, with a variable signal in T2-weighted. Associated signs: engainement vessels porte without thrombosis and extension to the inferior vena cava.
15 2- Intra-hepatic Cholangiocarcinoma Particular forms: Cystic degeneration is rare. CT scan : hypodense lesion with a fleshy portion which enhances after injection of contrast. The cholangiocarcinoma producing mucins abundantly: Is manifested by angiocholitis signs. Imaging: important dilation of the intra and extra-hepatic bile ducts. Peripheral Cholangiocarcinoma endobiliaire is rare. Cystic and tubular dilatation of the bile intra-hepatic without tumour.
16 Intrahepatic Cholangiocarcinoma with cystic degeneration Abdominal enhanced CT scan: bintrahepatic cystic mass with dilation of the intrahepatic bile ducts. Peripheral cholangiocarcinoma: Enhancedbbbbb-CT scan: heterogeneous tissue lesion and dilation of the intrahepatic bile ducts:
17 3-Hilar and principal bile duct Cholangiocarcinoma Carcinoma developed from the epithelium of the principal biliary tract or their convergence. Adult between 50 and 60 years, Bad prognosis Revealed by jaundice gradually increasing, more rarely angiocholitis. Ultrasound: Dilation of the bile ducts isoechogenic or hypoechogenic mass identified in 80% of cases.
18 3-Hilaire and principal bile duct Cholangiocarcinoma CT Isodense Lesion before injection of product of contrast Variable Enhancement with the arterial and late phase. MRI Highlight biliary obstruction. Specify the level of obstruction. Not-union of the two hepatic ducts right and left makes the diagnosis. The tumour was enhanced after injection of contrast.
19 3-Hilaire and Principal bile duct Cholangiocarcinoma Assessment of extension: Vascular Invasion Duct Invasion (classification of Bismuth and Cornet) Hepatic Metastases Lymphadenopathy Carcinose peritoneal
20 Hilar Cholangiocarcinoma: axial abdominal CT scan with contrast enhancing showing hilar tissular mass with dilation of bile ductbbbbb
21 Hilar cholangiocarcinoma- Axial and coronal reconstruction abdominal CT enhanced scan : nodular lesion in the principal bile duct (arrows) with dilation of biliary ducts
22 Hilaire Cholangiocarcinoma CT and MR-Cholongiography Cholongiography: Hypodense tissue process in CT and hypointense en T1- weighted with thrombosis of the portal vein
23 a b Hilar cholangiocarcinoma- Abdominal CT scan and MRI showing a biliary hilar process with bilation of biliary ducts c
24 Conclusion CT and MRI are the primary imaging modalities used for the assessment of biliary cancers. Multidector computed tomographic and magnetic resonance appearances of biliary cholangiocarcinomas and their extend are presented.
25 References 1. Vilgrain V, Menu Y. Imagerie du foie, des voies biliaires, du pancréas et de la rate. Flammarion 2002: Leclerc JC, Cannard L, Lefèvre F et Al. Imagerie des voies biliaires intrahépatiques en cholangiographie-irm en coupes épaisses. J Radiol 2001; 82 : Gautier AL, Vilgrain V, Fléjou JF et al. Imagerie du cholangiocarcinome périphérique. Comparaison avec l anatomie pathologique. J Radiol 1997; 7 8 : Becker CD. Scanner multidétecteur face à l IRM dans les maladies des voies biliairesj Radiol 2003,84; Arrivé L. Imagerie des voies biliaires. Compte rendu de la réunion de la section Île-de-France de la Société Française de Radiologie. J Radiol 2005;86:431-7.
Imaging iconography of gallbladder cancer. Assessment by CT.
1 REVISTA DE IMAGENOLOGIA- EII / Vol. XVI / Num. 2 Imaging iconography of gallbladder cancer. Assessment by CT. Doctors Crisci, Alejandro (1); Landó, Fernando.(2). CASMU CT Department Hospital of Tacuarembó
More informationBiliary tree dilation - and now what?
Biliary tree dilation - and now what? Poster No.: C-1767 Congress: ECR 2012 Type: Educational Exhibit Authors: I. Ferreira, A. B. Ramos, S. Magalhães, M. Certo; Porto/PT Keywords: Pathology, Diagnostic
More informationCholangiocarcinoma (Bile Duct Cancer)
Cholangiocarcinoma (Bile Duct Cancer) The Bile Duct System (Biliary Tract) A network of bile ducts (tubes) connects the liver and the gallbladder to the small intestine. This network begins in the liver
More informationState of the Art Imaging for Hepatic Malignancy: My Assignment
State of the Art Imaging for Hepatic Malignancy: My Assignment CT vs MR vs MRCP Which one to choose for HCC vs Cholangiocarcinoma What special protocols to use for liver tumors Role of PET and Duplex US
More informationHilar cholangiocarcinoma. Frank Wessels, Maarten van Leeuwen, UMCU utrecht
Hilar cholangiocarcinoma Frank Wessels, Maarten van Leeuwen, UMCU utrecht Content Anatomy Biliary strictures (Hilar) Cholangiocarcinoom Staging Biliary tract 1 st order Ductus hepatica dextra Ductus hepaticus
More informationIntraductal papillary mucinous neoplasm of the bile ducts: a rare form of premalignant lesion of invasive cholangiocarcinoma
Intraductal papillary mucinous neoplasm of the bile ducts: a rare form of premalignant lesion of invasive cholangiocarcinoma Authors: R. Revert Espí, Y. Fernandez Nuñez, I. Carbonell, D. P. Gómez valencia,
More informationIMAGING OF LIVER, BILIARY TREE, PANCREAS
IMAGING OF LIVER, BILIARY TREE, PANCREAS Department of Radiology West China Hospital, Sichuan University Yao Jin Learning Points The methodology for imaging the LBP (liver, biliary tree, and pancreas )
More informationPersonal Profile. Name: 劉 XX Gender: Female Age: 53-y/o Past history. Hepatitis B carrier
Personal Profile Name: 劉 XX Gender: Female Age: 53-y/o Past history Hepatitis B carrier Chief complaint Fever on and off for 2 days Present illness 94.10.14 Sudden onset of epigastric pain 94.10.15 Fever
More informationCase Study: #3: Gallbladder Carcinoma?
Case Study: #3: Gallbladder Carcinoma? By: Megan Wyatt K. SON Wyatt 225 2B1 RDMS, RVT Patient: Male 85 YOA Caucasian Indication: Elevated Alkaline Phosphatase History Annual physical showed elevated alkaline
More informationNewcastle HPB MDM updated radiology imaging protocol recommendations. Author Dr John Scott. Consultant Radiologist Freeman Hospital
Newcastle HPB MDM updated radiology imaging protocol recommendations Author Dr John Scott. Consultant Radiologist Freeman Hospital This document is intended as a guide to aid radiologists and clinicians
More informationImaging in gastric cancer
Imaging in gastric cancer Gastric cancer remains a deadly disease because of late diagnosis. Adenocarcinoma represents 90% of malignant tumors. Diagnosis is based on endoscopic examination with biopsies.
More informationMalignant Focal Liver Lesions
Malignant Focal Liver Lesions Other Than HCC Pablo R. Ros, MD, MPH, PhD Departments of Radiology and Pathology University Hospitals Cleveland Medical Center Case Western Reserve University Pablo.Ros@UHhospitals.org
More informationDr Claire Smith, Consultant Radiologist St James University Hospital Leeds
Dr Claire Smith, Consultant Radiologist St James University Hospital Leeds Imaging in jaundice and 2ww pathway Image protocol Staging Limitations Pancreatic cancer 1.2.4 Refer people using a suspected
More informationROLE OF RADIOLOGY IN INVESTIGATION OF JAUNDICE
ROLE OF RADIOLOGY IN INVESTIGATION OF JAUNDICE Dr. Sohan kumar sah *, Dr. Liu Sibin, Dr. sumendra raj pandey, Dr. Prakashmaan shah, Dr. Gaurishankar pandit, Dr. Suraj kurmi and Dr. Sanjay kumar jaiswal
More information4/9/2018 OBJECTIVES PANCREAOTO BILIARY ULTRASOUND: BEYOND CHOLECYSTITIS
PANCREAOTO BILIARY ULTRASOUND: BEYOND CHOLECYSTITIS Jean Yves Sewah Kaiser Permanente West Los Angeles 1 OBJECTIVES Discuss the role of ultrasound in the evaluation of the gallbladder, biliary tree and
More informationMR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA
MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA Poster No.: C-0019 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid
More informationRadiology of hepatobiliary diseases
GI cycle - Lecture 14 436 Teams Radiology of hepatobiliary diseases Objectives 1. To Interpret plan x-ray radiograph of abdomen with common pathologies. 2. To know the common pathologies presentation.
More informationSurgical anatomy of the biliary tract
HPB, 2008; 10: 7276 REVIEW ARTICLE Surgical anatomy of the biliary tract DENIS CASTAING Centre hépato-biliaire, Hôpital Paul Brousse, Assistance Publique- Hôpitaux de Paris, Université Paris XI, Paris,
More informationCholangiocarcinoma: appearances and mimics
Cholangiocarcinoma: appearances and mimics Poster No.: C-1572 Congress: ECR 2011 Type: Educational Exhibit Authors: C. Cardenas Valencia, J. Fernandez Jara, J. Cubero Carralero, B. Corral Ramos, P. Perez
More informationCommon and unusual CT and MRI manifestations of pancreatic adenocarcinoma: a pictorial review
Review Article Common and unusual CT and MRI manifestations of pancreatic adenocarcinoma: a pictorial review Min-Jie Yang, Su Li, Yong-Guang Liu, Na Jiao, Jing-Shan Gong Department of Radiology, Shenzhen
More informationAppendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound
EFSUMB Newsletter 87 Examinations should encompass the full range of pathological conditions listed below A log book listing the types of examinations undertaken should be kept Training should usually
More informationMultiple Primary Quiz
Multiple Primary Quiz Case 1 A 72 year old man was found to have a 12 mm solid lesion in the pancreatic tail by computed tomography carried out during a routine follow up study of this patient with adult
More informationGall bladder cancer. Information for patients Hepatobiliary
Gall bladder cancer Information for patients Hepatobiliary page 2 of 12 Who will provide my care? You will be cared for by a number of professionals who work together. These professionals will be specialist
More informationBiliary Ultrasonography Kathleen O Brien MD MPH RDMS Kaiser Permanente South Sacramento
Biliary Ultrasonography Kathleen O Brien MD MPH RDMS Kaiser Permanente South Sacramento https://www.google.com/search?sa=g&hl=en&q=public+disclosure&tbm=isch&tbs=simg:caqsigeahwelekju2aqaaawlelcmpwgaygpgcamskpib_1qnza7ai
More informationImaging of liver and pancreas
Imaging of liver and pancreas.. Disease of the liver Focal liver disease Diffusion liver disease Focal liver disease Benign Cyst Abscess Hemangioma FNH Hepatic adenoma HCC Malignant Fibrolamellar carcinoma
More informationPortal biliopathy from the image to the diagnostic: a systematic illustrated overview
Portal biliopathy from the image to the diagnostic: a systematic illustrated overview Poster No.: C-1690 Congress: ECR 2018 Type: Educational Exhibit Authors: F. Stefan, M. D. M. Boros, E. M. Preda, I.
More informationLab Monitor Images Dissection of the Abdominal Vasculature + Lower Digestive System
Lab Monitor Images Dissection of the Abdominal Vasculature + Lower Digestive System Stomach & Duodenum Frontal (AP) View Nasogastric tube 2 1 3 4 Stomach Pylorus Duodenum 1 Duodenum 2 Duodenum 3 Duodenum
More informationImaging of common diseases of hepatobiliary and GI system
Imaging of common diseases of hepatobiliary and GI system Natthaporn Tanpowpong, M.D. Diagnostic radiology Faculty of Medicine, Chulalongkorn University Normal plain radiograph A = Common bile duct
More informationAtypical manifestations, complications and pathological correlation of hydatid disease.
Atypical manifestations, complications and pathological correlation of hydatid disease. Poster No.: C-2501 Congress: ECR 2012 Type: Educational Exhibit Authors: R. Lerma Ortega, D. J. López Ruiz, L. A.
More informationPancreas Case Scenario #1
Pancreas Case Scenario #1 An 85 year old white female presented to her primary care physician with increasing abdominal pain. On 8/19 she had a CT scan of the abdomen and pelvis. This showed a 4.6 cm mass
More informationSurgical Management of CBD Injury Jin Seok Heo
Surgical Management of CBD Injury Jin Seok Heo Department of Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Republic of Korea Bile duct injury (BDI) Introduction Incidence
More informationCongenital dilatation of the common bile duct and pancreaticobiliary maljunction clinical implications
Langenbecks Arch Surg (2009) 394:209 213 DOI 10.1007/s00423-008-0330-6 CURRENT CONCEPT IN CLINICAL SURGERY Congenital dilatation of the common bile duct and pancreaticobiliary maljunction clinical implications
More informationReview. Computed tomography in the diagnosis and staging of cholangiocarcinoma and pancreatic carcinoma
Annals of Oncology 10 Suppl. 4: S12-S17, 1999. 1999 Kluwer Academic Publishers. Printed in the Netherlands. Review Computed tomography in the diagnosis and staging of cholangiocarcinoma and pancreatic
More informationPrimary Sclerosing Cholangitis and Cholestatic liver diseases. Ahsan M Bhatti MD, FACP Bhatti Gastroenterology Consultants
Primary Sclerosing Cholangitis and Cholestatic liver diseases Ahsan M Bhatti MD, FACP Bhatti Gastroenterology Consultants I have nothing to disclose Educational Objectives What is PSC? Understand the cholestatic
More informationManagement of Cholangiocarcinoma. Roseanna Lee, MD PGY-5 Kings County Hospital
Management of Cholangiocarcinoma Roseanna Lee, MD PGY-5 Kings County Hospital Case Presentation 37 year old male from Yemen presented with 2 week history of epigastric pain, anorexia, jaundice and puritis.
More informationMRI Abdomen Protocol Pancreas/MRCP with Contrast
MRI Abdomen Protocol Pancreas/MRCP with Contrast Reviewed By: Brett Mollard, MD; Anna Ellermeier, MD Last Reviewed: July 2018 Contact: (866) 761-4200 Standard uses: 1. Characterization of cystic and solid
More informationLesions of the pancreaticoduodenal groove, a pictorial review
Lesions of the pancreaticoduodenal groove, a pictorial review Poster No.: C-2131 Congress: ECR 2013 Type: Educational Exhibit Authors: E. Ni Mhurchu, L. Lavelle, I. Murphy, S. Skehan ; IE, Dublin/ IE Keywords:
More information3/28/2012. Periampullary Tumors. Postgraduate Course in General Surgery CASE 1: CASE 1: Overview. Eric K. Nakakura Ko Olina, HI
Overview Postgraduate Course in General Surgery Case presentation Differential diagnosis Diagnosis and therapy Outcomes Principles of palliative care Eric K. Nakakura Ko Olina, HI March 27, 2012 CASE 1:
More informationAbdominal ultrasound:
Abdominal ultrasound: Non-traumatic acute abdomen Wittanee Na-ChiangMai, MD Department of Radiology ChiangMai University 26/04/2017 Contents Technique of examination Normal anatomy Emergency conditions
More informationHepatobiliary Ultrasound Rimon Bengiamin, MD, RDMS Assistant Clinical Professor Director of Emergency Ultrasound UCSF Fresno. Objectives. Why?
Hepatobiliary Ultrasound Rimon Bengiamin, MD, RDMS Assistant Clinical Professor Director of Emergency Ultrasound UCSF Fresno Objectives Discuss the goals of point-of-care biliary ultrasound Review the
More informationCT EVALUATION OF GASTRIC LESIONS:
CT EVALUATION OF GASTRIC LESIONS: Pictural essay Hasni Bouraoui I, Kahloun A, Jemni H, Elouni F, Moulahi H, Daadoucha A, Ben Ali A, Sriha B, Tlili Graies K Departments of Radiology, Gastro enterology,
More informationNasogastric tube. Stomach. Pylorus. Duodenum 1. Duodenum 2. Duodenum 3. Duodenum 4
Esophagus Barium Swallow Stomach and Duodenum 4 year old Upper GI Nasogastric tube Stomach and Duodenum 4 year old Upper GI Nasogastric tube Stomach Pylorus Duodenum 1 Duodenum 2 Duodenum 3 Duodenum 4
More informationNavigating the Biliary Tract with CT & MR: An Imaging Approach to Bile Duct Obstruction
Navigating the Biliary Tract with CT & MR: An Imaging Approach to Bile Duct Obstruction Ann S. Fulcher, MD Medical College of Virginia Virginia Commonwealth University Richmond, Virginia Objectives To
More information6 th August 2018 Day 1 - Gallbladder & Bile duct Topic
Venue: Sterling Hospital Auditorium, Sterling Hospitals, Gurukul Road Ahmedabad, Gujarat 6 th August 2018 Day 1 - Gallbladder & Bile duct Registration(8:00am-8:15am) Inauguration(8:15am-8:30am) Welcome
More informationIntrahepatic Cholangiocarcinoma (ICC) Detected by Sonography
661245JDMXXX10.1177/8756479316661245Journal of Diagnostic Medical SonographyHamer research-article2016 Case Study Intrahepatic Cholangiocarcinoma (ICC) Detected by Sonography Journal of Diagnostic Medical
More informationOriginal article: new surgical approaches to the Klatskin tumour
Alimentary Pharmacology & Therapeutics Original article: new surgical approaches to the Klatskin tumour T. M. VAN GULIK*, S. DINANT*, O. R. C. BUSCH*, E. A. J. RAUWS, H. OBERTOP* & D. J. GOUMA Departments
More informationLiver Tumors. Prof. Dr. Ahmed El - Samongy
Liver Tumors Prof. Dr. Ahmed El - Samongy Objective 1. Identify the most important features of common benign liver tumors 2. Know the risk factors, diagnosis, and management of hepatocellular carcinoma
More informationApproach to the Patient with Liver Disease
Approach to the Patient with Liver Disease Diagnosis of liver disease Careful history taking Physical examination Laboratory tests Radiologic examination and imaging studies Liver biopsy Liver diseases
More informationA patient with an unusual congenital anomaly of the pancreaticobiliary tree
A patient with an unusual congenital anomaly of the pancreaticobiliary tree Thomas Hocker, HMS IV BIDMC Core Radiology Case Presentation September 17, 2007 Review of Normal Pancreaticobiliary Tract Anatomy
More information5/17/2013. Pancreatic Cancer. Postgraduate Course in General Surgery CASE 1: CASE 1: Overview. Case presentation. Differential diagnosis
Overview Case presentation Postgraduate Course in General Surgery Differential diagnosis Diagnosis and therapy Eric K. Nakakura Koloa, HI March 26, 2013 Outcomes CASE 1: CASE 1: A 78-year-old man developed
More informationContemporary Imaging of Biliary Malignancy and Preoperative Evaluation
Contemporary Imaging of Biliary Malignancy and Preoperative Evaluation Linda Pantongrag-Brown, MD Advanced Diagnostic Imaging, Ramathibodi Hospital, Bangkok, Thailand Malignancy of biliary tract Cholangiocarcinoma
More informationGuidelines, Policies and Statements D5 Statement on Abdominal Scanning
Guidelines, Policies and Statements D5 Statement on Abdominal Scanning Disclaimer and Copyright The ASUM Standards of Practice Board have made every effort to ensure that this Guideline/Policy/Statement
More informationMagnetic Resonance Cholangiopancreatography (MRCP) in a District General Hospital
Magnetic Resonance Cholangiopancreatography (MRCP) in a District General Hospital Poster No.: C-1790 Congress: ECR 2012 Type: Authors: Scientific Exhibit J. A. Maguire 1, H. Kasem 2, M. Akhtar 2, M. Strauss
More informationBiliary Papillomatosis: case report
Chin J Radiol 2003; 28: 407-412 407 Biliary Papillomatosis: case report CHUN-LIN HUANG WEN-PIN CHEN YU-BUN NG JOSEPH HANG LEUNG Department of Medical Imaging, Chiayi Christian Hospital Biliary papillomatosis
More informationBILIARY TRACT & PANCREAS, PART II
CME Pretest BILIARY TRACT & PANCREAS, PART II VOLUME 41 1 2015 A pretest is mandatory to earn CME credit on the posttest. The pretest should be completed BEFORE reading the overview. Both tests must be
More informationCase Scenario 1. Discharge Summary
Case Scenario 1 Discharge Summary A 69-year-old woman was on vacation and noted that she was becoming jaundiced. Two months prior to leaving on that trip, she had had a workup that included an abdominal
More informationHEPATO-BILIARY IMAGING
HEPATO-BILIARY IMAGING BY MAMDOUH MAHFOUZ MD PROF.OF RADIOLOGY CAIRO UNIVERSITY mamdouh.m5@gmail.com www.ssregypt.com CT ABDOMEN Indications Patient preparation Patient position Scanogram Fasting 4-6 hours
More informationCholangiocarcinoma: Radiologic evaluation and interventions
November 2014 Cholangiocarcinoma: Radiologic evaluation and interventions Colin Nevins, Harvard Medical School Year III Agenda Initial course and work-up Endoscopic retrograde cholangiopancreatography
More informationLiver Cancer And Tumours
Liver Cancer And Tumours What causes liver cancer? Many factors may play a role in the development of cancer. Because the liver filters blood from all parts of the body, cancer cells from elsewhere can
More informationCase 7729 Child with choledochal cyst presenting with episodes of vomitting and jaundice
Case 7729 Child with choledochal cyst presenting with episodes of vomitting and jaundice dos Santos R 1, Almeida J 1, Mendes PP 2, Pereira S 3, Borges C 3, Soares E 4. 1) Radiology resident, 2) Radiology
More informationPictorial review of Benign Biliary tract abnormality on MRCP/MRI Liver with Endoscopic (including splyglass) and Endoscopic Ultrasound correlation
Pictorial review of Benign Biliary tract abnormality on MRCP/MRI Liver with Endoscopic (including splyglass) and Endoscopic Ultrasound correlation Poster No.: C-2617 Congress: ECR 2015 Type: Educational
More informationEndoscopic Ultrasonography Assessment for Ampullary and Bile Duct Malignancy
Diagnostic and Therapeutic Endoscopy, Vol. 3, pp. 35-40 Reprints available directly from the publisher Photocopying permitted by license only (C) 1996 OPA (Overseas Publishers Association) Amsterdam B.V.
More informationCase Reports. Intraductal Papillary Cholangiocarcinoma: Case Report and Review of the Literature INTRODUCTION CASE REPORT
Case Reports Kongkam K, Rerknimitr R 45 Case Report and Review of the Literature Pradermchai Kongkam, M.D. Rungsun Rerknimitr, M.D. ABSTRACT A case of papillary cholangiocarcinoma is presented. A 64-year-old
More informationDiagnosis of tumor extension in biliary carcinoma has. Differential Diagnosis and Treatment of Biliary Strictures
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2009;7:S79 S83 Differential Diagnosis and Treatment of Biliary Strictures KAZUO INUI, JUNJI YOSHINO, and HIRONAO MIYOSHI Department of Internal Medicine, Second
More informationBile Duct Cancer Early Detection, Diagnosis, and Staging
Bile Duct Cancer Early Detection, Diagnosis, and Staging Detection and Diagnosis Catching cancer early often allows for more treatment options. Some early cancers may have signs and symptoms that can be
More informationTitle: Painless jaundice as an initial presentation of lung adenocarcinoma
Title: Painless jaundice as an initial presentation of lung adenocarcinoma Authors: Irene Andaluz García, Irene González Partida, Javier Lucas Ramos, Jorge Yebra Carmona DOI: 10.17235/reed.2018.5587/2018
More informationHematologic Malignancies of the Liver : Spectrum of Disease. Zhou Jian
Hematologic Malignancies of the Liver : Spectrum of Disease Zhou Jian 2015-7-8 Hematologic malignancies include a wide spectrum of lymphoproliferative and myeloproliferative disorders with nodal and extranodal
More informationIntrahepatic Sarcomatoid Cholangiocarcinoma with Portal Vein Thrombosis: A Case Report 1
Intrahepatic Sarcomatoid Cholangiocarcinoma with Portal Vein Thrombosis: A Case Report 1 Jae-Hoon Lim, M.D., Jin Woong Kim, M.D., Suk Hee Heo, M.D., Yong Yeon Jeong, M.D., Heoung Keun Kang, M.D. A 53-year-old
More informationBiliary MRI w Eovist
Biliary MRI w Eovist Is there any added value? Elmar M. Merkle, MD Director of MR Imaging Duke University Medical Center elmar.merkle@duke.edu Declaration of Conflict of Interest or Relationship Research
More informationComparison of multidetector-row computed tomography findings of IgG4-related sclerosing cholangitis and cholangiocarcinoma
Comparison of multidetector-row computed tomography findings of IgG4-related sclerosing cholangitis and cholangiocarcinoma Poster No.: C-0245 Congress: ECR 2014 Type: Scientific Exhibit Authors: M. Yata,
More informationImaging Guided Biopsy. Edited & Presented by ; Hussien A.B ALI DINAR. Msc Lecturer,Reporting Sonographer
Imaging Guided Biopsy Edited & Presented by ; Hussien A.B ALI DINAR. Msc Lecturer,Reporting Sonographer Objective By the End of this lessons you should : Define what biopsy Justify Aim to perform biopsy
More informationMANAGEMENT OF INCIDENTALLY DETECTED GALLBLADDER CANCER
MANAGEMENT OF INCIDENTALLY DETECTED GALLBLADDER CANCER Orlando Jorge M. Torres Full Professor and Chairman Department of Gastrointestinal Surgery Hepatopancreatobiliary Unit Federal University of Maranhão
More informationAnatomical and Functional MRI of the Pancreas
Anatomical and Functional MRI of the Pancreas MA Bali, MD, T Metens, PhD Erasme Hospital Free University of Brussels Belgium mbali@ulb.ac.be Introduction The use of MRI to investigate the pancreas has
More informationNAACCR Webinar Series 1
Collecting Cancer Data: Liver 2013 2014 NAACCR Webinar Series June 5, 2014 Q&A Please submit all questions concerning webinar content through the Q&A panel. Reminder: If you have participants watching
More informationA LEADER IN ADVANCED ENDOSCOPY AND HEPATOBILIARY SURGERY
A LEADER IN ADVANCED ENDOSCOPY AND HEPATOBILIARY SURGERY St. Peter s Hospital Advanced Endoscopy & Hepatobiliary Center Welcome The St. Peter s Hospital Advanced Endoscopy & Hepatobiliary Center is a leader
More information- Increased incidence? - Poor prognosis?
Imaging of Cholangiocarcinoma Amir Reza Radmard, MD Assistant Professor Shariati hospital Tehran University of medical sciences Definitions Tumors that arise from the bile duct epithelium. Accounts 10-20%
More informationManagement of Rare Liver Tumours
Gian Luca Grazi Hepato-Biliary-Pancreatic Surgery National Cancer Institute Regina Elena Rome Fibrolamellar Carcinoma Mixed Hepato Cholangiocellular Carcinoma Hepatoblastoma Carcinosarcoma Primary Hepatic
More informationAccuracy of Multidetector Computed Tomographic Cholangiography In Evaluation of Causes of Biliary Tract Obstruction
Med. J. Cairo Univ., Vol. 85, No. 7, December: 2613-2623, 2017 www.medicaljournalofcairouniversity.net Accuracy of Multidetector Computed Tomographic Cholangiography In Evaluation of Causes of Biliary
More informationCTA/MRA of Pediatric Hepatic Masses Radiology-Pathology Correlation
Acta Radiológica Portuguesa, Vol.XVIII, nº70, pág. 41-50, Abr.-Jun., 2006 CTA/MRA of Pediatric Hepatic Masses Radiology-Pathology Correlation Marilyn J. Siegel Mallinckrodt Institute of Radiology, Washington
More informationWhat Are Gallstones? GALLSTONES. Gallstones are pieces of hard, solid matter that form over time in. the gallbladder of some people.
What Are Gallstones? Gallstones are pieces of hard, solid matter that form over time in the gallbladder of some people. The gallbladder sits under the liver and stores bile (a key digestive juice ). Gallstones
More informationClinics in Diagnostic Imaging (79)
Singapore Med J 2002 Vol 43(11) : 591-596 M e d i c a l E d u c a t i o n Clinics in Diagnostic Imaging (79) P Lerttumnongtum, M Muttarak, K Wasanavijit 1a Fig. 1a Subcostal US scan taken at the porta
More informationIntraoperative staging of GIT cancer using Intraoperative Ultrasound
Intraoperative staging of GIT cancer using Intraoperative Ultrasound Thesis For Fulfillment of MSc Degree In Surgical Oncology By Abdelhalim Salah Abdelhalim Moursi M.B.B.Ch (Cairo University ) Supervisors
More informationAnatomy of the biliary tract
Harvard-MIT Division of Health Sciences and Technology HST.121: Gastroenterology, Fall 2005 Instructors: Dr. Jonathan Glickman Anatomy of the biliary tract Figure removed due to copyright reasons. Biliary
More informationA CASE REPORT OF SPONTANEOUS BILOMA - AN ENIGMATIC SURGICAL PROBLEM
A CASE REPORT OF SPONTANEOUS BILOMA - AN ENIGMATIC SURGICAL PROBLEM *Sumanta Kumar Ghosh and Biswajit Mukherjee ESIC Medical College, Joka, Kolkata, India *Author for Correspondence ABSTRACT Occurrence
More informationTOPICS FOR PRACTICAL LESSONS, DISCIPLINE RADIOLOGY For the IIIrd year students Faculty of Medicine, university year
TOPICS FOR PRACTICAL LESSONS, DISCIPLINE RADIOLOGY For the IIIrd year students Faculty of Medicine, university year 2018-2019 I. Evolution of radiology. Notion of Radiophysics. 1. Medical imaging definition.
More informationClassification of choledochal cyst with MR cholangiopancreatography in children and infants: special reference to type Ic and type IVa cyst
Classification of choledochal cyst with MR cholangiopancreatography in children and infants: special reference to type Ic and type IVa cyst Poster No.: C-1333 Congress: ECR 2011 Type: Educational Exhibit
More informationLIVER IMAGING TIPS IN VARIOUS MODALITIES. M.Vlychou, MD, PhD Assoc. Professor of Radiology University of Thessaly
LIVER IMAGING TIPS IN VARIOUS MODALITIES M.Vlychou, MD, PhD Assoc. Professor of Radiology University of Thessaly Hepatocellular carcinoma is a common malignancy for which prevention, screening, diagnosis,
More informationCase Report Uncommon Mixed Type I and II Choledochal Cyst: An Indonesian Experience
Case Reports in Surgery Volume 2013, Article ID 821032, 4 pages http://dx.doi.org/10.1155/2013/821032 Case Report Uncommon Mixed Type I and II Choledochal Cyst: An Indonesian Experience Fransisca J. Siahaya,
More informationJaundice. Agnieszka Dobrowolska- Zachwieja, MD, PhD
Jaundice Agnieszka Dobrowolska- Zachwieja, MD, PhD Jaundice definition Jaundice, as in the French jaune, refers to the yellow discoloration of the skin. It arises from the abnormal accumulation of bilirubin
More informationThe Role of Multidetector Row Computed Tomography in Biliary Tract Malignancy
Cancer Research Journal 25; 3(5): -9 Published online September, 25 (http://www.sciencepublishinggroup.com/j/crj) doi:.68/j.crj.2535.3 ISSN: 233-892 (Print); ISSN: 233-82 (Online) The Role of Multidetector
More informationpitfall Table 1 4 disorientation pitfall pitfall Table 1 Tel:
11 687 692 2002 pitfall 1078 29 17 9 1 2 3 dislocation outflow block 11 1 2 3 9 1 2 3 4 disorientation pitfall 11 687 692 2002 Tel: 075-751-3606 606-8507 54 2001 8 27 2002 10 31 29 4 pitfall 16 1078 Table
More informationDOWNLOAD OR READ : PRIMARY SCLEROSING CHOLANGITIS PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : PRIMARY SCLEROSING CHOLANGITIS PDF EBOOK EPUB MOBI Page 1 Page 2 primary sclerosing cholangitis primary sclerosing cholangitis pdf primary sclerosing cholangitis Diagnosis and Management
More informationLiver imaging takes a step forward with Ingenia
Publication for the Philips MRI Community ISSUE 49 2013 / 2 Liver imaging takes a step forward with Ingenia Lyon South Hospital strives to move from several studies first CT, then MR or PET to using just
More informationLiver Specific MRI using Gd-EOB-DTPA Disodium (Primovist) Effects Change in Management of Indeterminate Liver Lesions.
Liver Specific MRI using Gd-EOB-DTPA Disodium (Primovist) Effects Change in Management of Indeterminate Liver Lesions. Poster No.: C-1751 Congress: ECR 2012 Type: Authors: Keywords: DOI: Educational Exhibit
More informationCME Article Clinics in diagnostic imaging (115) Wai C T, Seto K Y, Sutedja D S
Medical Education Singapore Med.1 2007, 48 (4) : 361 CME Article Clinics in diagnostic imaging (115) Wai C T, Seto K Y, Sutedja D S fit. B CD - -0 o -5 r t -10 Fig. I US images of the upper right abdomen
More informationPancreatic Cancer. What is pancreatic cancer?
Scan for mobile link. Pancreatic Cancer Pancreatic cancer is a tumor of the pancreas, an organ that is located behind the stomach in the abdomen. Pancreatic cancer does not always cause symptoms until
More informationImaging Findings of Liver Clonorchiasis
J Radiol Sci 2011; 36: 145-151 Imaging Findings of Liver Clonorchiasis I-Hao Su Sung-Yu Chu Chien-Ming Chen Kuang-Tse Pan Ming-Yi Hsu Ren-Fu Shi Jeng-Hwei Tseng Kee-Min Yeow Chien-Fu Hung Department of
More informationGeneral Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons
General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons MODULE TITLE: UPPER GI & HPB - HEPATIC, PANCREATIC & BILIARY
More informationContrast enhanced ultrasound (CEUS) in gallbladder and bile duct pathology: technique, interpretation and clinical applications
Contrast enhanced ultrasound (CEUS) in gallbladder and bile duct pathology: technique, interpretation and clinical applications Poster No.: C-2099 Congress: ECR 2011 Type: Scientific Exhibit Authors: E.
More informationHepatobiliary investigations
Hepatobiliary investigations Hepatobiliary Services Information for patients Liver i Stomach Pancreas Gall bladder Introduction You have been referred to the Hepatobiliary Unit. We specialise in procedures
More information