Cholangiographically guided aspiration cytology in the management of malignant biliary obstruction.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Neoplasias dos Ductos Biliares
/
Biópsia por Agulha
/
Idoso
/
Feminino
/
Humanos
/
Masculino
/
Colangiografia
/
Colestase
/
Adenoma de Ducto Biliar
/
Adulto
Tipo de estudo:
Guia de Prática Clínica
Idioma:
Inglês
Ano de publicação:
1989
Tipo de documento:
Artigo
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