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Colangiocarcinoma extrahepático polipoideo-intraductal.

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Presentation on theme: "Colangiocarcinoma extrahepático polipoideo-intraductal."— Presentation transcript:

1 Colangiocarcinoma extrahepático polipoideo-intraductal

2 Colangiocarcinoma intrahepático polipoideo- intraductal

3 Colangiocarcinoma extrahepático polipoideo- intraductal: plano radial SSFSE con TR 2528 y TE , de grosor 50.0

4 Colangiocarcinoma extrahepático polipoideo- intraductal: plano coronal SSFSE con TR 1910 y TE 119.0, de grosor 7.0

5 Colangiocarcinoma extrahepático polipoideo- intraductal: plano axial SSFSE con TR 1910 y TE 120.6, de grosor 3.0

6

7 Colangiocarcinoma extrahepático polipoideo- intraductal: plano radial SSFSE con TR 2574 y TE , de grosor 50.0

8 RESULTADOS: HUMS casos Sexo 55,94% V – 44,06% M Edad 71,91 (30-94) Distribución 22,03% Intra, 22,03% Extra, 55,94% Hiliar. A. Patológica 45,76% (96,3% adenocarcinoma, 3,7% adenoescamoso) Estado 38,99% exitus

9 Ecografía 92,3% de intrahepáticos 92,3% de extrahepáticos 84,84% de hiliares TC 92,3% de intrahepáticos 92,3% de extrahepáticos 90,90% de hiliares RM-ColangioRM 69,23% de intrahepáticos 33,46% de extrahepáticos 51,51% de hiliares CPRE 30,76% de intrahepáticos 92,3% de extrahepáticos 81,81% de hiliares

10 CONCLUSIONES Distribución ligeramente mayor en varones. Distribución ligeramente mayor en varones. Localización hiliar la más frecuente. Localización hiliar la más frecuente. TC > 90%, RM casi 50%. TC > 90%, RM casi 50%. AP adenocarcinoma en 96%. AP adenocarcinoma en 96%. Técnicas de elección para estudio: TC y RM para tumores intrahepáticos, ERCP y colangioRM para extrahepáticos. Técnicas de elección para estudio: TC y RM para tumores intrahepáticos, ERCP y colangioRM para extrahepáticos.

11 AGRADECIMIENTOS Al servicio de Anatomía Patológica del H. U. Miguel Servet de Zaragoza, en particular a la Dra. Ana Fuertes, por su colaboración con las imágenes de las piezas quirúrgicas

12 BIBLIOGRAFÍA 1. Jae Hoon Lim. Cholangiocarcinoma: Morphologic classification according to growth pattern and imaging findings. AJR 2003; 181: Jae Hoon Lim. Cholangiocarcinoma: Morphologic classification according to growth pattern and imaging findings. AJR 2003; 181: Slattery JM, Sahani DV. What is the current state of the art imaging for detection and staging of cholangiocarcinoma? Oncologist 2006; 11: Slattery JM, Sahani DV. What is the current state of the art imaging for detection and staging of cholangiocarcinoma? Oncologist 2006; 11: Bismuth H, Majno PE. Biliary strictures: classification based on the principles of surgical treatment. World J Surg 2001; 25: Bismuth H, Majno PE. Biliary strictures: classification based on the principles of surgical treatment. World J Surg 2001; 25: Lee HY, Kim SH, Lee JM, Kim SW, Jang JY, Han JK, Choi BI. Preoperative assessment of resectability of hepatic hilar cholangiocarcinoma: combined CT and cholangiography with revised criteria. Radiology Apr;239(1): Lee HY, Kim SH, Lee JM, Kim SW, Jang JY, Han JK, Choi BI. Preoperative assessment of resectability of hepatic hilar cholangiocarcinoma: combined CT and cholangiography with revised criteria. Radiology Apr;239(1): Asayama Y, Yoshimitsu K, Irie H, Tajima T, Nishie A, Hirakawa M, Nakayama T, Kakihara D, Taketomi A, Aishima S, Honda H.Delayed- phase dynamic CT enhancement as a prognostic factor for mass- forming intrahepatic cholangiocarcinoma. Radiology Jan;238(1): Asayama Y, Yoshimitsu K, Irie H, Tajima T, Nishie A, Hirakawa M, Nakayama T, Kakihara D, Taketomi A, Aishima S, Honda H.Delayed- phase dynamic CT enhancement as a prognostic factor for mass- forming intrahepatic cholangiocarcinoma. Radiology Jan;238(1):150-5.

13 6. Joon Koo Han, Byung Ihn Choi, Ah Young Kim, Su Kyung An, Joon Woo Lee, Tae Kyung Kim, and Sun-Whe Kim. Cholangiocarcinoma: Pictorial Essay of CT and Cholangiographic Findings. RadioGraphics 2002; 22: Joon Koo Han, Byung Ihn Choi, Ah Young Kim, Su Kyung An, Joon Woo Lee, Tae Kyung Kim, and Sun-Whe Kim. Cholangiocarcinoma: Pictorial Essay of CT and Cholangiographic Findings. RadioGraphics 2002; 22: Yuji Watanabe, Masako Nagayama, Akira Okumura, Yoshiki Amoh, Takashi Katsube, Tsuyoshi Suga, Shingo Koyama, Kohya Nakatani, and Yoshihiro Dodo. MR Imaging of Acute Biliary Disorders. RadioGraphics 2007; 27: Yuji Watanabe, Masako Nagayama, Akira Okumura, Yoshiki Amoh, Takashi Katsube, Tsuyoshi Suga, Shingo Koyama, Kohya Nakatani, and Yoshihiro Dodo. MR Imaging of Acute Biliary Disorders. RadioGraphics 2007; 27: Jae Hoon Lim, Kee-Taek Jang, Dongil Choi, Won Jae Lee, and Hyo Keun Lim. Early Bile Duct Carcinoma: Comparison of Imaging Features with Pathologic Findings. Radiology : Jae Hoon Lim, Kee-Taek Jang, Dongil Choi, Won Jae Lee, and Hyo Keun Lim. Early Bile Duct Carcinoma: Comparison of Imaging Features with Pathologic Findings. Radiology : Mi-Suk Park, Tae Kyoung Kim, Kyyoung Won Kim, Sung Won Park, Jeong Kyung Lee, Jung-Sun Kim et al. Differentiation of extrahepatic bile duct cholangiocarcinoma from benign stricture: findings at MRCP versus ERCP. Radiology 2004; 233: Mi-Suk Park, Tae Kyoung Kim, Kyyoung Won Kim, Sung Won Park, Jeong Kyung Lee, Jung-Sun Kim et al. Differentiation of extrahepatic bile duct cholangiocarcinoma from benign stricture: findings at MRCP versus ERCP. Radiology 2004; 233:


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