Cholangiographic evaluation of bile duct carcinoma
Cholangiograms and clinical histories of 82 patients with biopsy-proved bile duct carcinoma were reviewed. The carcinomas were classified according to morphologic type and anatomic location, and these were correlated with surgical and pathologic findings and clinical outcome. Ulcerative colitis and...
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| Veröffentlicht in: | AJR, Am. J. Roentgenol.; (United States) Am. J. Roentgenol.; (United States), 1983-12, Vol.141 (6), p.1291-1294 |
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| container_title | AJR, Am. J. Roentgenol.; (United States) |
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| creator | Nichols, DA MacCarty, RL Gaffey, TA |
| description | Cholangiograms and clinical histories of 82 patients with biopsy-proved bile duct carcinoma were reviewed. The carcinomas were classified according to morphologic type and anatomic location, and these were correlated with surgical and pathologic findings and clinical outcome. Ulcerative colitis and antecedent inflammatory disease of the biliary tree, particularly primary sclerosing cholangitis, seem to predispose to the development of bile duct carcinoma. Focal stenotic lesions were the most common morphologic type (62/82). Polypoid carcinomas and diffuse sclerosing carcinomas were less common and of about equal frequency. Prognosis was best for patients with polypoid carcinomas and worst for those with diffuse sclerosing carcinomas. In 69 cases (84%), the tumors involved the intrahepatic or proximal extrahepatic ducts, making curative resection difficult or impossible. Patients with carcinomas limited to the more distal extrahepatic bile ducts had a longer average survival and a higher probability of surgical cure. Proper management of patients with bile duct carcinoma requires a complete and accurate cholangiographic evaluation of the morphology, location, and extent of the disease. |
| doi_str_mv | 10.2214/ajr.141.6.1291 |
| format | Article |
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The carcinomas were classified according to morphologic type and anatomic location, and these were correlated with surgical and pathologic findings and clinical outcome. Ulcerative colitis and antecedent inflammatory disease of the biliary tree, particularly primary sclerosing cholangitis, seem to predispose to the development of bile duct carcinoma. Focal stenotic lesions were the most common morphologic type (62/82). Polypoid carcinomas and diffuse sclerosing carcinomas were less common and of about equal frequency. Prognosis was best for patients with polypoid carcinomas and worst for those with diffuse sclerosing carcinomas. In 69 cases (84%), the tumors involved the intrahepatic or proximal extrahepatic ducts, making curative resection difficult or impossible. Patients with carcinomas limited to the more distal extrahepatic bile ducts had a longer average survival and a higher probability of surgical cure. Proper management of patients with bile duct carcinoma requires a complete and accurate cholangiographic evaluation of the morphology, location, and extent of the disease.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.141.6.1291</identifier><identifier>PMID: 6606331</identifier><language>eng</language><publisher>United States: Am Roentgen Ray Soc</publisher><subject>550602 - Medicine- External Radiation in Diagnostics- (1980-) ; 550900 - Pathology ; Aged ; BASIC BIOLOGICAL SCIENCES ; Bile Duct Neoplasms - complications ; Bile Duct Neoplasms - diagnostic imaging ; Bile Duct Neoplasms - pathology ; BILIARY TRACT ; BIOMEDICAL RADIOGRAPHY ; Carcinoma - complications ; Carcinoma - diagnostic imaging ; Carcinoma - pathology ; CARCINOMAS ; Cholangiography ; DIAGNOSTIC TECHNIQUES ; DIGESTIVE SYSTEM ; DISEASES ; Female ; Humans ; INFLAMMATION ; Male ; MEDICINE ; NEOPLASMS ; NUCLEAR MEDICINE ; PATHOLOGICAL CHANGES ; PATHOLOGY ; PATIENTS ; RADIOLOGY ; RADIOLOGY AND NUCLEAR MEDICINE ; SYMPTOMS</subject><ispartof>AJR, Am. 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J. Roentgenol.; (United States)</title><addtitle>AJR Am J Roentgenol</addtitle><description>Cholangiograms and clinical histories of 82 patients with biopsy-proved bile duct carcinoma were reviewed. The carcinomas were classified according to morphologic type and anatomic location, and these were correlated with surgical and pathologic findings and clinical outcome. Ulcerative colitis and antecedent inflammatory disease of the biliary tree, particularly primary sclerosing cholangitis, seem to predispose to the development of bile duct carcinoma. Focal stenotic lesions were the most common morphologic type (62/82). Polypoid carcinomas and diffuse sclerosing carcinomas were less common and of about equal frequency. Prognosis was best for patients with polypoid carcinomas and worst for those with diffuse sclerosing carcinomas. In 69 cases (84%), the tumors involved the intrahepatic or proximal extrahepatic ducts, making curative resection difficult or impossible. Patients with carcinomas limited to the more distal extrahepatic bile ducts had a longer average survival and a higher probability of surgical cure. Proper management of patients with bile duct carcinoma requires a complete and accurate cholangiographic evaluation of the morphology, location, and extent of the disease.</description><subject>550602 - Medicine- External Radiation in Diagnostics- (1980-)</subject><subject>550900 - Pathology</subject><subject>Aged</subject><subject>BASIC BIOLOGICAL SCIENCES</subject><subject>Bile Duct Neoplasms - complications</subject><subject>Bile Duct Neoplasms - diagnostic imaging</subject><subject>Bile Duct Neoplasms - pathology</subject><subject>BILIARY TRACT</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Carcinoma - complications</subject><subject>Carcinoma - diagnostic imaging</subject><subject>Carcinoma - pathology</subject><subject>CARCINOMAS</subject><subject>Cholangiography</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DIGESTIVE SYSTEM</subject><subject>DISEASES</subject><subject>Female</subject><subject>Humans</subject><subject>INFLAMMATION</subject><subject>Male</subject><subject>MEDICINE</subject><subject>NEOPLASMS</subject><subject>NUCLEAR MEDICINE</subject><subject>PATHOLOGICAL CHANGES</subject><subject>PATHOLOGY</subject><subject>PATIENTS</subject><subject>RADIOLOGY</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>SYMPTOMS</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1LxDAQhoMo67p69SYUD3pqTdrmo0dZ_IIFLwreQpom20jbrElq8d-bpYt4mmHmmRfmAeASwSzPUXknPl2GSpSRDOUVOgJLhEuSFnF0DJawIChlsPg4BWfef0IIKavoAiwIgaQo0BLk69Z2Ytgau3Vi1xqZqG_RjSIYOyRWJ7XpVNKMMiRSOGkG24tzcKJF59XFoa7A--PD2_o53bw-vazvN6ksEQ6pxDXBCmKGoVANYRBjIhmFNdRaNphqmiumK9FUhFRM1LHHmmKsGdGkoHmxAtdzrvXBcC9NULKVdhiUDBxDlBOEI3QzQztnv0blA--Nl6qLPyk7es4greKj-7RsBqWz3jul-c6ZXrgfjiDfm-TRJI_aOOF7k_Hg6pA81r1q_vCDuri_nfet2baTcYr7XnRdpBGfpulf0i9nrXsO</recordid><startdate>198312</startdate><enddate>198312</enddate><creator>Nichols, DA</creator><creator>MacCarty, RL</creator><creator>Gaffey, TA</creator><general>Am Roentgen Ray Soc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>198312</creationdate><title>Cholangiographic evaluation of bile duct carcinoma</title><author>Nichols, DA ; MacCarty, RL ; Gaffey, TA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-c5b65e05850aed680556c870b0ffcd57f72e8f9ad96698ab8f95f755f86f63723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>550602 - Medicine- External Radiation in Diagnostics- (1980-)</topic><topic>550900 - Pathology</topic><topic>Aged</topic><topic>BASIC BIOLOGICAL SCIENCES</topic><topic>Bile Duct Neoplasms - complications</topic><topic>Bile Duct Neoplasms - diagnostic imaging</topic><topic>Bile Duct Neoplasms - pathology</topic><topic>BILIARY TRACT</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Carcinoma - complications</topic><topic>Carcinoma - diagnostic imaging</topic><topic>Carcinoma - pathology</topic><topic>CARCINOMAS</topic><topic>Cholangiography</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>DIGESTIVE SYSTEM</topic><topic>DISEASES</topic><topic>Female</topic><topic>Humans</topic><topic>INFLAMMATION</topic><topic>Male</topic><topic>MEDICINE</topic><topic>NEOPLASMS</topic><topic>NUCLEAR MEDICINE</topic><topic>PATHOLOGICAL CHANGES</topic><topic>PATHOLOGY</topic><topic>PATIENTS</topic><topic>RADIOLOGY</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>SYMPTOMS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nichols, DA</creatorcontrib><creatorcontrib>MacCarty, RL</creatorcontrib><creatorcontrib>Gaffey, TA</creatorcontrib><creatorcontrib>Mayo Clinic, Rochester, MN</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>AJR, Am. J. Roentgenol.; (United States)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nichols, DA</au><au>MacCarty, RL</au><au>Gaffey, TA</au><aucorp>Mayo Clinic, Rochester, MN</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cholangiographic evaluation of bile duct carcinoma</atitle><jtitle>AJR, Am. J. Roentgenol.; (United States)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1983-12</date><risdate>1983</risdate><volume>141</volume><issue>6</issue><spage>1291</spage><epage>1294</epage><pages>1291-1294</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><abstract>Cholangiograms and clinical histories of 82 patients with biopsy-proved bile duct carcinoma were reviewed. The carcinomas were classified according to morphologic type and anatomic location, and these were correlated with surgical and pathologic findings and clinical outcome. Ulcerative colitis and antecedent inflammatory disease of the biliary tree, particularly primary sclerosing cholangitis, seem to predispose to the development of bile duct carcinoma. Focal stenotic lesions were the most common morphologic type (62/82). Polypoid carcinomas and diffuse sclerosing carcinomas were less common and of about equal frequency. Prognosis was best for patients with polypoid carcinomas and worst for those with diffuse sclerosing carcinomas. In 69 cases (84%), the tumors involved the intrahepatic or proximal extrahepatic ducts, making curative resection difficult or impossible. Patients with carcinomas limited to the more distal extrahepatic bile ducts had a longer average survival and a higher probability of surgical cure. Proper management of patients with bile duct carcinoma requires a complete and accurate cholangiographic evaluation of the morphology, location, and extent of the disease.</abstract><cop>United States</cop><pub>Am Roentgen Ray Soc</pub><pmid>6606331</pmid><doi>10.2214/ajr.141.6.1291</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0361-803X |
| ispartof | AJR, Am. J. Roentgenol.; (United States), 1983-12, Vol.141 (6), p.1291-1294 |
| issn | 0361-803X 1546-3141 |
| language | eng |
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| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | 550602 - Medicine- External Radiation in Diagnostics- (1980-) 550900 - Pathology Aged BASIC BIOLOGICAL SCIENCES Bile Duct Neoplasms - complications Bile Duct Neoplasms - diagnostic imaging Bile Duct Neoplasms - pathology BILIARY TRACT BIOMEDICAL RADIOGRAPHY Carcinoma - complications Carcinoma - diagnostic imaging Carcinoma - pathology CARCINOMAS Cholangiography DIAGNOSTIC TECHNIQUES DIGESTIVE SYSTEM DISEASES Female Humans INFLAMMATION Male MEDICINE NEOPLASMS NUCLEAR MEDICINE PATHOLOGICAL CHANGES PATHOLOGY PATIENTS RADIOLOGY RADIOLOGY AND NUCLEAR MEDICINE SYMPTOMS |
| title | Cholangiographic evaluation of bile duct carcinoma |
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