Liver metastases from colon cancer with intra-bile duct tumor growth : Radiologic features

Our goal was to characterize the radiologic features of liver metastases from colon cancer with intrahepatic bile duct (IHBD) dilatation. Radiologic findings of liver metastases from colon cancer with IHBD dilatation of four patients were compared with pathologic findings. The cause of bile duct dil...

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Veröffentlicht in:Journal of computer assisted tomography 1997-07, Vol.21 (4), p.656-660
Hauptverfasser: JINZAKI, M, TANIMOTO, A, SUZUKI, K, SEKI, T, SATOH, Y, HIRAMATSU, K, MUKAI, M, NAKANISHI, I
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container_end_page 660
container_issue 4
container_start_page 656
container_title Journal of computer assisted tomography
container_volume 21
creator JINZAKI, M
TANIMOTO, A
SUZUKI, K
SEKI, T
SATOH, Y
HIRAMATSU, K
MUKAI, M
NAKANISHI, I
description Our goal was to characterize the radiologic features of liver metastases from colon cancer with intrahepatic bile duct (IHBD) dilatation. Radiologic findings of liver metastases from colon cancer with IHBD dilatation of four patients were compared with pathologic findings. The cause of bile duct dilatation in all cases was due to papillary tumor growth in the bile duct. In two patients, intra-bile duct tumor growth (IBDTG) was observed on imaging. In the other two patients, IBDTG was not observed, but a nontapered abrupt obstruction of a dilated bile duct was seen, corresponding to the microscopically proven papillary tumor growth in the ductal lumen. In three patients who underwent an extensive hepatic resection, there has been no recurrence. In one patient who had a nonanatomic limited resection, a recurrence was seen 1 year after surgery. When liver tumor with IBDTG is suspected on imaging, liver metastases should be considered in the differential diagnosis besides hepatocellular carcinoma or cholangiocellular carcinoma. Careful preoperative assessment for IBDTG by imaging is essential to determine the extent of surgical resection.
doi_str_mv 10.1097/00004728-199707000-00027
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subjects Aged
Bile Duct Neoplasms - diagnostic imaging
Bile Duct Neoplasms - pathology
Bile Duct Neoplasms - secondary
Bile Ducts, Intrahepatic - diagnostic imaging
Bile Ducts, Intrahepatic - pathology
Biological and medical sciences
Colonic Neoplasms - diagnostic imaging
Colonic Neoplasms - pathology
Diagnosis, Differential
Dilatation, Pathologic - diagnostic imaging
Dilatation, Pathologic - pathology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - pathology
Liver Neoplasms - secondary
Male
Medical sciences
Middle Aged
Retrospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tomography, X-Ray Computed - instrumentation
Tomography, X-Ray Computed - methods
Tumors
title Liver metastases from colon cancer with intra-bile duct tumor growth : Radiologic features
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