HILAR CHOLANGIOCARCINOMA: THE POTENTIALITIES OF ULTRASONIC DIAGNOSIS IN ASSESSING THE DEGREE OF PATHOLOGICAL ALTERATION OF BILE DUCT WALL
Abstract
The analysis of the results of clinical-instrumental tests on 99 patients suffering from tumors or benign damages of proximal bile ducts complicated by obstructive jaundice compared to the control including patients without any cholagogic pathology has been carried out. The potentialities of ultrasonic diagnosis in detecting tumor affection of bile ducts at hilar cholangiocarcinoma as well as in differential diagnosing of tumor affection and benign damages of the liver and gallbladder have been studied. The echo-sign of pathological alteration of bile duct wall has been proposed. The frequency of the echo-sign in the clinical group compared to the control has been analyzed. We have come to the conclusion that detailed examination of bile duct walls and the lumen of common, left and right hepatic ducts should be included into diagnostic examination of a patient due to the fact that the proposed method can contribute to the revealing of hilar cholangiocarcinoma. This ultrasound symptom can be exploited in differential diagnosing of different portal fissure damages and in revealing of the type of tumor growth.
About the Authors
L. G. Izmailova
State budget healthcare institution Territory clinic № 2
Russian Federation
Russian Federation
A. G. Prihodko
State budget healthcare institution Territory clinic № 2
Russian Federation
Russian Federation
V. Y. Zobenko
Kuban state medical university
Russian Federation
Russian Federation
A. A. Malakhov
Kuban state medical university
Russian Federation
Russian Federation
References
1. Вишневский В. А., Тарасюк Т. И., Икрамов Р. З. Радикальные операции при раке проксимальных желчных протоков // Анналы хирургической гепатологии. - 2005. - Т. 10. № 3. - С. 35-42.
2. Кулезнева Ю. В., Израилов Р. Е., Уракова Н. А. Дифференциальная диагностика механической желтухи различного генеза в условиях стационара скорой помощи // Медицинская визуализация. - 2008. - № 3. - С. 40-49.
3. Коков Л. С., Черная Н. Р., Кулезнева Ю. В. Лучевая диагностика и малоинвазивное лечение механической желтухи: Руководство. - М.: Радиология-пресс, 2010. - 288 с.
4. Назыров Ф. Г., Икрамов А. И., Акбаров М. М. Диагностика и тактика хирургического лечения больных опухолями проксимальных отделов внепеченочных желчных протоков // Хирургия. - 2010. - № 6. - С. 36-39.
5. Панов В. О., Сергеева О. Н., Кукушкин А. В., Долгушин Б. И. МРТ в диагностике поражения печени и желчных протоков при опухоли Клатскина. Внесосудистые интервенционные радиологические вмешательства. Материалы III научно-практической конференции по интервенционной радиологии в онкологии: Тезисы докладов. - М., 2010. - 140 с.
6. Choi J. Y., Kim M. J., Lee J. M. Hilar cholangiocarcinoma: role of preoperaitive imaging with sonography, MDCT, MRI, and direct cholangiography // AJR. - 2008. - № 191. - P. 1448-1457.
7. Clayton R. A., Clarke D. L., Currie E. J. Incidence of benign pathology in patients undergoing hepatic resection for suspected malignancy // Surgeon. - 2003. - № 1. - Р. 32-38.
8. Hann L. E., Greatrex K. V., Bach A. M. Cholangiocarcinoma at the hepatic hilus: sonographic findings // Am. j. roentgenol. - 1997. -№ 168. - P. 985-989.
9. Lee H. Y., Kim S. H., Lee J. M. Preoperative assessment of resectability of hepatic hilar cholangiocarcinoma: combined CT and cholangiography with revised criteria // Radioligy. - 2006. - № 239. -P. 113-121.
10. Neumaier C. E., Bertolotto M., Martinoli C., Loria F. Silvestri staging of hilar cholangiocarcinoma with ultrasound // Journal of clinical ultrasound. - 1995. - V. 23. № 3. - P. 173-178.
11. Park M.-S., Kim T. K., Kim K. W. Differentiation of extrahepatic bile duct cholangiocarcinoma from bening stricture: findings at MRCP versus ERCP // Radiology. - 2004. - V. 233. № 10. -P. 234-240.
12. Robledo R., Muro A., Prieto M. L. Extrahepatic bile duct carcinoma: US characteristics and accuracy in demonstration of tumors // Radiology. - 1996. - V. 198. № 3. - P. 869-873.
13. Slattery J. M., Sahani D. V. What is the Current State of the Art Imaging for detection and staging of cholangiocarcinoma? // The oncologist. - 2006. - № 11. - Р. 913-922.
Review
For citations:
Izmailova L.G., Prihodko A.G., Zobenko V.Y., Malakhov A.A. HILAR CHOLANGIOCARCINOMA: THE POTENTIALITIES OF ULTRASONIC DIAGNOSIS IN ASSESSING THE DEGREE OF PATHOLOGICAL ALTERATION OF BILE DUCT WALL. Kuban Scientific Medical Bulletin. 2014;(1):88-92. (In Russ.)
Views:
255
Email this article 