A Case of Adenocarcinoma in situ of the Distal Common Bile Duct Diagnosed by Percutaneous Transhepatic Cholangioscopy
The Korean Journal of Internal Medicine
; : 211-215, 2012.
Article
in En
| WPRIM
| ID: wpr-28109
Responsible library:
WPRO
ABSTRACT
Extrahepatic cholangiocarcinoma is often clinically challenging to diagnose. Even multidisciplinary approaches which include computed tomography, magnetic resonance imaging, and endoscopic retrograde cholangiography are unsatisfactory in some cases, especially with biliary stricture. Percutaneous transhepatic cholangioscopy (PTCS) with its direct visualization for biopsy appears to be a promising technique for detecting cholangiocarcinoma at an early stage. We report a case of adenocarcinoma in situ of the distal common bile duct (CBD) that was confirmed by PTCS. This case suggests the useful role of PTCS in the differential diagnosis of a distal CBD obstruction, particularly when other diagnostic modalities do not provide definitive information.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Cholestasis, Extrahepatic
/
Carcinoma in Situ
/
Tomography, X-Ray Computed
/
Predictive Value of Tests
/
Endoscopy, Digestive System
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Cholangiopancreatography, Endoscopic Retrograde
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Treatment Outcome
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Pancreaticoduodenectomy
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Cholangiocarcinoma
/
Common Bile Duct
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Humans
/
Male
Language:
En
Journal:
The Korean Journal of Internal Medicine
Year:
2012
Type:
Article