Papillary type of early common bile duct cancer - 22/08/11
Doi : 10.1016/j.gie.2006.08.026
Seok Jeong, MD, Jung Il Lee, MD, Jin-Woo Lee, MD, Kye Sook Kwon, MD, Hyung Gil Kim, MD, Yong Woon Shin, MD, Young Soo Kim, MD
Division of Gastroenterology, Department of Internal Medicine
Don Haeng Lee, MD
Division of Gastroenterology, Department of Internal Medicine and Center for Advanced Medical Education
| Commentary Is there any good news for this patient? Yes! Papillary tumors are less likely to invade deeply and have a better prognosis than nonpapillary varieties. Of note, this patient had no obvious risk factor for carcinoma of the extrahepatic bile ducts, such as primary sclerosing cholangitis, choledochal cyst, biliary papilloma, a hepatobiliary infection (eg, Clonorchis sinensis and Opisthorchis viverrini), or toxin (thorium dioxide) exposure. It is curious why no sampling technique, for example, a bile duct brushing, biopsy, or fine-needle aspiration, was performed, although regardless of result, the treatment would not have changed. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2007
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 65 - N° 6
P. 916-917 - mai 2007 Retour au numéro
Article précédent
- Hepatocellular carcinoma invading the fourth branch of the left intrahepatic duct
- Seok Jeong, In Suh Park, Jung Il Lee, Jin-Woo Lee, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin, Young Soo Kim, Yong Sun Jeon, Don Haeng Lee
- Protein-losing enteropathy from eosinophilic enteritis diagnosed by wireless capsule endoscopy and double-balloon enteroscopy
- Surakit Pungpapong, Mark E. Stark, John R. Cangemi
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?