Extrahepatic Metastasis of Peripheral Cholangiocarcinoma: CT Findings
Journal of the Korean Radiological Society
;
: 715-718, 1994.
Article
in Korean
| WPRIM
| ID: wpr-216960
ABSTRACT
PURPOSE:
To evaluate the extrahepatic spread of peripheral cholangiocarcinoma with CT. MATERIALS ANDMETHODS:
We retrospectively reviewed CT findings of extrahepatic spread in thirty-six patients with peripheral cholangiocarcinoma confirmed adenocarcinoma at surgery(n=5) or percutaneous biopsy(n--31) without primary leion in other organs, and analysed the frequency and distribution of enlarged lymph nodes, direct invasion of adjacent solid organs, and thrombosis of major vessels.RESULTS:
Among the 36 cases, enlarged metastatic lymph node was noted in twenty-four(66.7%), direct invasion into adjacent organs in six(16.7%), portal and inferior vena caval thrombosis in five(13.9%). Enlarged lymph nodes were seen in hepatic nodes(n=16, 44.4%), portocaval nodes(n=15, 41.7%), interaortocaval nodes (n=10, 27.8) and celiac nodes in two(5.6%). Direct invasion was detected in the greater omentum(n=6), gallbladder(n3) and stomach(n=2). Portal vein thrombosis(n5) and thrombosis of inferior vena cava(n=2) were noted.CONCLUSION:
Lymph node metastasis was seen in 67% in patients with peripheral cholangiocarcinoma. Direct invasion to adjacent organs and thrombosis in portal vein or inferior vena cava were occasionally associated.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Portal Vein
/
Thrombosis
/
Vena Cava, Inferior
/
Adenocarcinoma
/
Retrospective Studies
/
Cholangiocarcinoma
/
Lymph Nodes
/
Neoplasm Metastasis
Type of study:
Diagnostic study
/
Observational study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
1994
Type:
Article
Similar
MEDLINE
...
LILACS
LIS