Cholangiocarcinoma

Caudate Lobectomy HEPATECTOMY HPB HPB surgery Histopathology ICG MRCP Roux en Y Roux en Y cholangiojejunostomy cholangiography diverticula duodenal endoscopic technique endoscopy ercp hepatic artery hepaticojejunostomy inferior vena cava liver lymphadenectomy pancreas robotic surgery sphincterotomy stent placement surgical anatomy
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Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (13 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Complete tumoral obstruction of the distal choledoco the duodenal diverticulum is located to the right. The incidence of biliary cancers corresponds to mortality rates as the prognosis from these...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (14 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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WHO classification of carcinomas of the extrahepatic bile ducts. Carcinoma in situ Adenocarcinoma Papillary adenocarcinoma Adenocarcinoma, intestinal-type Mucinous adenocarcinoma Clear cell adenocarcinoma...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (15 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Neoplastic tubulopapillar tissue infiltrating and replacing the Vater ampulla. Histological Grade Most cholangiocarcinomas (95%) are adenocarcinomas. Adenocarcinomas are classified 1 to 4 according...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (16 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Large and small malignant cholangiolar ducts Anatomical classification “Cholangiocarcinoma” originally referred only to primary tumours of the intrahepatic bile ducts and was not used for extrahepatic...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (17 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Microscopic pattern of the tumor with columnar epithelium and hyperchromatic nuclei.

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (18 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Terminal biliar duct with neoplastic small glands proliferation and mucosa of the choledoco with neoplasia.

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (19 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Low power detail of tumor invasion to the pancreas head at left superior corner and to the periampullar duodeno at right inferior corner.

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (5 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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This picture shows the duodenum with the diverticula.

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (6 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Clinical Features Most common presenting clinical features of perihilar or extrahepatic tumours are those of biliary obstruction: jaundice, pale stool, dark urine, and pruritus. Right upper quadrant...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (8 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Distal choledoco duct tumor pushing and distorting adjacent duodenal diverticulum. Cholangiocarcinoma and bile duct cancer are often used interchangeably. Primary biliary tract malignancies. More...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (9 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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Close up of cholangiolar tumor and duodenal diverticulum The tumor is usually small and may arise anywhere along the biliary tree, from the small intrahepatic bile ducts to the common bile duct. Microscopically,...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (10 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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tumor with pancreatic tissue at the bottom Cholangiocarcinomas are usually slow-growing tumors that spread locally via the lymphatic system. Treatment and long-term prognosis are dependent upon the...

Cholangiocarcinoma that infiltrated a Periampullary Duodenal Diverticula and the head of the pancreas (11 of 20)
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Cholangiocarcinoma that infiltrated a Periampullary...

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An inverted picture of tumor showing the duodenal, diverticular and pancreatic relations Large solitary tumors are characteristic of peripheral cholangiocarcinoma; however, a multinodular type may...

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