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Staging of extrahepatic cholangiocarcinoma

Authors
 Yong Eun Chung  ;  Myeong-Jin Kim  ;  Young Nyun Park  ;  Yoon-Hee Lee  ;  Jin-Young Choi 
Citation
 EUROPEAN RADIOLOGY, Vol.18(10) : 2182-2195, 2008 
Journal Title
EUROPEAN RADIOLOGY
ISSN
 0938-7994 
Issue Date
2008
MeSH
Bile Duct Neoplasms/diagnosis* ; Bile Ducts, Extrahepatic/diagnostic imaging* ; Bile Ducts, Extrahepatic/pathology* ; Cholangiocarcinoma/classification* ; Cholangiocarcinoma/diagnosis* ; Humans ; Magnetic Resonance Imaging/methods* ; Neoplasm Staging/methods ; Tomography, X-Ray Computed/methods*
Keywords
Bile duct cancer ; Extrahepatic cholangiocarcinoma ; Staging
Abstract
Preoperative staging of extrahepatic cholangiocarcinoma is important in determining the best treatment plan. Several classification systems have been suggested to determine the operability and extent of surgery. Longitudinal tumor extent is especially important in extrahepatic cholangiocarcinoma because operative methods differ depending on the tumor extent. The Bismuth-Corlette classification system provides useful information when planning for surgery. However, this classification system is not adequate for selecting surgical candidates. Anatomic variation of the bile duct and gross morphology of the tumor must be considered simultaneously. Lateral spread of the tumor can be evaluated based on the TNM staging provided by American Joint Committee on Cancer (AJCC). However, there is a potential for ambiguity in the distinction of T1 and T2 cancer from one another. In addition, T stage does not necessarily mean invasiveness. Blumgart T staging is helpful for the assessment of resectability with the consideration of nodal status and distant metastasis as suggested by the AJCC cancer staging system. Computed tomography (CT) and magnetic resonance imaging (MRI) are the primary tools used in the assessment of longitudinal and lateral spread of a tumor when determining respectability. Diagnostic laparoscopy and positron emission tomography (PET) may play additional roles in this regard
Full Text
http://link.springer.com/article/10.1007%2Fs00330-008-1006-x
DOI
10.1007/s00330-008-1006-x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myeong Jin(김명진) ORCID logo https://orcid.org/0000-0001-7949-5402
Park, Young Nyun(박영년) ORCID logo https://orcid.org/0000-0003-0357-7967
Chung, Yong Eun(정용은) ORCID logo https://orcid.org/0000-0003-0811-9578
Choi, Jin Young(최진영) ORCID logo https://orcid.org/0000-0002-9025-6274
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107021
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