Cholangiographically guided aspiration cytology in the management of malignant biliary obstruction.
Artículo
en Inglés
| IMSEAR
| ID: sea-65773
ABSTRACT
Fifteen patients with malignant biliary obstruction were subjected to fine needle aspiration cytology (FNAC) under fluoroscopic guidance. Fourteen (93%) of them were correctly diagnosed to have a malignancy at FNAC. Simultaneous with FNAC or at a later date, all the patients underwent percutaneous biliary drainage with a drop in serum bilirubin from a mean of 23.2 mg/dl to 8.5 mg/dl. Ten patients were subjected to exploratory laparotomy and biopsy at which the diagnosis of FNAC was confirmed in nine of them. The tenth patient with a negative yield at FNAC had a 1.0 cm cholangiocarcinoma. The usefulness of FNAC combined with biliary drainage as an alternative to surgery is highlighted.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Neoplasias de los Conductos Biliares
/
Biopsia con Aguja
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Colangiografía
/
Colestasis
/
Adenoma de los Conductos Biliares
/
Adulto
Tipo de estudio:
Guía de Práctica Clínica
Idioma:
Inglés
Año:
1989
Tipo del documento:
Artículo
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