Clinical Gastroenterology Vol.26 No.13(2-1)

Theme Hilar and Intrahepatic Cholangiocarcinoma
Title CT Imaging for Diagnosis of Hilar Cholangiocarcinoma
Publish Date 2011/12
Author Koichi Nakamura Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Toshifumi Gabata Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Kazuto Kozaka Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Osamu Matsui Digestive Disease Center, Showa University Northern Yokohama Hospital
[ Summary ] The roles of CT imaging in thediagnosis of hilar cholangiocarcinoma are to identify degree of localization, to evaluate its character, and to perform differential diagnosis. In addition, it is necessary to evaluate the extent of invasion, to confirm whether lymph node/distant metastasis exist or not. These findings are necessary to decide on treatment strategies and surgical options. However, it is difficult to evaluate the extent of invasion using only CT imaging. We should evaluate hilar cholangiocarcinomas with not only CT imaging but also various other modalities, such as US, MRI, ERCP, PTC, POCS/PTCS, EUS or IDUS.
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