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Cholangiocarcinoma Cholangiocarcinoma

Cholangiocarcinoma - PDF document

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Uploaded On 2022-09-06

Cholangiocarcinoma - PPT Presentation

I Bile duct evaluation 1 Bile duct involvement Right secondary confluence Right hepatic duct Left secondary confluence Left hepatic duct Primary confluence Common hepatic duct Supra pancreati ID: 951581

hepatic duct indeterminate absent duct hepatic absent indeterminate present left location artery replaced anatomy bile evaluable posterior cbd confluence

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Cholangiocarcinoma : I. Bile duct evaluation: 1) Bile duct involvement: Right secondary confluence Right hepatic duct Left secondary confluence Left hepatic duct Primary confluence Common hepatic duct Supra - pancreatic CBD Intra - pancreatic CBD 2) Bile duct anatomy variation: Not evaluable No Yes - trifurcation - Right posterior duct inserted to left hepatic duct - Right posterior duct inserted to CBD - others (please specify) 3) Bismuth classification: I, II, IIIa, IIIb, IV 4) Gross morphology b ased on predominant component: - Mass forming (maximum diameter in cm ) - Periductal infiltrating - Intraductal growth II. Ve

ssel evaluation: 1) Artery anatomy variation: Not evaluable No Yes - Replaced right hepatic artery - Replaced left hepatic artery - Replaced common hepatic artery - Others (please specify) 2) Portal vein anatomy Not evaluable No Yes - PV trifurcation - Right posterior PV as first branch of main portal vein Others (please specify) III. Regional lymph nodes : absent, indeterminate, present IV. Distance metastases: - liver: absent, indeterminate, present (location) - Peritoneal/ omental nodule: absent, indeterminate, present (location) - Distant lymph node: absent, indeterminate, present (location) - Other organs: specify locatio