Papillary type of early common bile duct cancer - 22/08/11
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 |
Vol 65 - N° 6
P. 916-917 - mai 2007 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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