Differentiating cholangiocarcinoma from other diseases: Difference between revisions
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==Overview== | ==Overview== | ||
==Diseases with similar symptoms== | |||
Cholangiocarcinoma must also be differentiated from other diseases that cause [[jaundice]], [[abdominal pain]], [[weight loss]], and [[fatigue]]: | |||
*[[Gallbladder cancer]] | |||
*[[Hepatocellular Carcinoma]] | |||
*[[Pancreatic cancer]] | |||
*[[Cholecystitis]] and choledochitis | |||
*Liver fluke infections | |||
Cholangiocarcinoma must be differentiated from other diseases such as:<ref name=radio>Cholangiocarcinoma. Radiopaedia. http://radiopaedia.org/articles/cholangiocarcinoma</ref> | |||
For an intrahepatic mass-forming cholangiocarcinoma consider: | For an intrahepatic mass-forming cholangiocarcinoma consider: | ||
*Liver metastases | *Liver metastases | ||
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:*Intratumoural cysts do not communicate with the biliary tree | :*Intratumoural cysts do not communicate with the biliary tree | ||
*Benign stricture | *Benign stricture | ||
Cholangiocarcinoma must be differentiated from other diseases that cause [[jaundice]], [[abdominal pain]], [[weight loss]], and [[fatigue]]: | |||
*[[Gallbladder cancer]] | *[[Gallbladder cancer]] | ||
Revision as of 20:45, 4 November 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Diseases with similar symptoms
Cholangiocarcinoma must also be differentiated from other diseases that cause jaundice, abdominal pain, weight loss, and fatigue:
- Cholecystitis and choledochitis
- Liver fluke infections
Cholangiocarcinoma must be differentiated from other diseases such as:[1]
For an intrahepatic mass-forming cholangiocarcinoma consider:
- Liver metastases
- Central necrosis (high T2 signal) is more common
- Hepatocellular carcinoma (HCC)
- Tumor thrombus more common
- Capsular retraction uncommon
- May appear very similar
- Other primary liver tumors
- Hepatic abscess
For a periductal infiltrating cholangiocarcinoma consider:
- Benign stricture
- Usually short-segment
- Regular margin
- Symmetric narrowing
- No ductal enhancement
- No lymph node enlargement
- No periductal soft-tissue mass
- Periportal lymphangitic metastasis
For an intraductal cholangiocarcinoma consider:
- Intraductal invasion by a HCC
- Extraductal mass
- Hepatolithiasis
- No enhancement
- Higher attenuation
- Biliary cystadenoma or cystadenocarcinoma
- Intratumoural cysts do not communicate with the biliary tree
- Benign stricture
Cholangiocarcinoma must be differentiated from other diseases that cause jaundice, abdominal pain, weight loss, and fatigue:
- Cholecystitis and choledochitis
- Liver fluke infections
References
- ↑ Cholangiocarcinoma. Radiopaedia. http://radiopaedia.org/articles/cholangiocarcinoma