Cholangiocarcinoma classification: Difference between revisions
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Revision as of 17:38, 5 February 2018
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Cholangiocarcinoma classification On the Web |
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Risk calculators and risk factors for Cholangiocarcinoma classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Suveenkrishna Pothuru, M.B,B.S. [2]
Overview
Classification
- Cholangiocarcinoma may be classified according to location of the tumor into three subtypes:[1]
- Intrahepatic bile duct cancer
- Perihilar bile duct cancer
- Extrahepatic bile duct cancer
Cellular Classification of Cholangiocarcinoma
Intrahepatic Bile Duct Cancer
- Mass-forming tumor growth pattern
- Periductal-infiltrating tumor growth pattern
- Mixed mass-forming and periductal-infiltrating growth pattern
Perihilar Bile Duct Cancer
- Carcinoma in situ
- Adenocarcinoma
- Intestinal type
- Mucinous type
- Clear cell type
- Signet-ring cell carcinoma
- Adenosquamous carcinoma
- Squamous cell carcinoma
- Small cell (oat cell) carcinoma
- Undifferentiated carcinoma
- Spindle cell type
- Giant cell type
- Small cell type
- Papillomatosis
- Papillary carcinoma
- Noninvasive
- Invasive
- Carcinoma, NOS
Extrahepatic Bile Duct Cancer
- Carcinoma in situ
- Adenocarcinoma, not otherwise specified (NOS)
- Adenocarcinoma
- Intestinal type
- Mucinous type
- Clear cell type
- Signet-ring cell carcinoma
- Adenosquamous carcinoma
- Squamous cell carcinoma
- Small cell (oat cell) carcinoma
- Undifferentiated carcinoma
- Spindle cell type
- Giant cell type
- Small cell type
- Papillomatosis
- Papillary carcinoma
- Noninvasive
- Papillary carcinoma
- Invasive
Bismuth-Corlette classification
- Type I: Tumors are distal to the hepatic duct confluence
- Type II: Neoplasms extend to and involve the hepatic duct confluence
- Type IIIA: Tumors involve the hepatic duct confluence and either the proximal right hepatic duct
- Type IIIB: Tumors involve the hepatic duct confluence and either the proximal left hepatic duct
- Type IV:Tumors extend into the bilateral proximal hepatic ducts up to the segmental bile ducts
References
- ↑ DeOliveira ML, Cunningham SC, Cameron JL, Kamangar F, Winter JM, Lillemoe KD, Choti MA, Yeo CJ, Schulick RD (2007). "Cholangiocarcinoma: thirty-one-year experience with 564 patients at a single institution". Ann. Surg. 245 (5): 755–62. doi:10.1097/01.sla.0000251366.62632.d3. PMC 1877058. PMID 17457168.