Assessment of Endoscopic Aspiration Cytology and Endoscopic Retrograde Cholangio-pancreatography in Patients with Cancer of the Hepato-biliary Tract. Part Ii.
Gastroenterologia Japonica
- Publish Date: 1977
- ISSN: 0435-1339
- Volume: 12
- Issue: 1
- Pages: 59-64
- Medium: Print
- Language: English
- Citation (JAMA): Harada H, Sasaki T, Yamamoto N, et al. Assessment of Endoscopic Aspiration Cytology and Endoscopic Retrograde Cholangio-pancreatography in Patients with Cancer of the Hepato-biliary Tract. Part Ii.. Gastroenterol. Jpn. 1977;12:59-64
Abstract
Aspiration cytology and ERCP were evaluated in 66 patients with cancer of the hepato-biliary tract. Cytology was diagnostic in 100% of ampullary cancer, 83% of cancer of extrahepatic bile duct, 0% of cancer of intrahepatic bile duct, 25% of cancer of gall bladder and 0% of cancer of liver. ERCP was diagnostic in 65% of ampullary cancer, 90% of cancer of extrahepatic bile duct, 100% of cancer of intrahepatic bile duct, 25% of cancer of gall bladder and 25% of cancer of liver. Endoscopic findings was diagnostic in 77% of cancer of ampullary region. By combining these approaches, a diagnostic result was obtained in 100% of ampullary cancer, 96.5% of cancer of extrahepatic bile duct, 100% of cancer of intrahepatic bile duct, 50% of cancer of gall bladder and 25% of cancer of liver. It is concluded that the combined diagnostic approach has enhanced the diagnostic accuracy of malignant lesions of the hepato-biliary tract and that it has not yet led to an improvement in resectability and mortality.
Mesh Headings (Keywords): Ampulla of Vater, Bile Duct Neoplasms, Bile Ducts, Intrahepatic, Biopsy, Needle, Cholangiography, Endoscopy, Gallbladder, Gallbladder Neoplasms, Hepatic Duct, Common, Humans, Liver, Liver Neoplasms
Check for Full Text / PubMed Unique Identifier (PMID): 863180
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