Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review
Hilar cholangiocarcinoma (HC) is a rare tumor that causes devastating disease. In the late stages, this carcinoma primarily invades the portal vein and metastasizes to the hepatic lobes; it is associated with a poor prognosis. HC is diagnosed by its clinical manifestation and results of imaging tech...
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2013
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pubmed-37396012013-08-12 Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review Zhimin, Geng Noor, Hidayatullah Jian-Bo, Zheng Lin, Wang Jha, Rajiv Kumar Review Articles Hilar cholangiocarcinoma (HC) is a rare tumor that causes devastating disease. In the late stages, this carcinoma primarily invades the portal vein and metastasizes to the hepatic lobes; it is associated with a poor prognosis. HC is diagnosed by its clinical manifestation and results of imaging techniques such as ultrasound, computed tomography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiography, and percutaneous transhepatic cholangiography. Preoperative hepatic bile drainage can improve symptoms associated with insufficient liver and kidney function, coagulopathy, and jaundice. Surgical margin-negative (R0) resection, including major liver resection, is the most effective and potentially curative treatment for HC. If the tumor is not resected, then liver transplantation with adjuvant management can improve survival. We conducted a systematic review of developments in imaging studies and major surgical hepatectomy for HC with positive outcomes regarding quality of life. International Scientific Literature, Inc. 2013-08-07 /pmc/articles/PMC3739601/ /pubmed/23921971 http://dx.doi.org/10.12659/MSM.889379 Text en © Med Sci Monit, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Zhimin, Geng Noor, Hidayatullah Jian-Bo, Zheng Lin, Wang Jha, Rajiv Kumar |
spellingShingle |
Zhimin, Geng Noor, Hidayatullah Jian-Bo, Zheng Lin, Wang Jha, Rajiv Kumar Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review |
author_facet |
Zhimin, Geng Noor, Hidayatullah Jian-Bo, Zheng Lin, Wang Jha, Rajiv Kumar |
author_sort |
Zhimin, Geng |
title |
Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review |
title_short |
Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review |
title_full |
Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review |
title_fullStr |
Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review |
title_full_unstemmed |
Advances in diagnosis and treatment of hilar cholangiocarcinoma – a review |
title_sort |
advances in diagnosis and treatment of hilar cholangiocarcinoma – a review |
description |
Hilar cholangiocarcinoma (HC) is a rare tumor that causes devastating disease. In the late stages, this carcinoma primarily invades the portal vein and metastasizes to the hepatic lobes; it is associated with a poor prognosis. HC is diagnosed by its clinical manifestation and results of imaging techniques such as ultrasound, computed tomography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiography, and percutaneous transhepatic cholangiography. Preoperative hepatic bile drainage can improve symptoms associated with insufficient liver and kidney function, coagulopathy, and jaundice. Surgical margin-negative (R0) resection, including major liver resection, is the most effective and potentially curative treatment for HC. If the tumor is not resected, then liver transplantation with adjuvant management can improve survival. We conducted a systematic review of developments in imaging studies and major surgical hepatectomy for HC with positive outcomes regarding quality of life. |
publisher |
International Scientific Literature, Inc. |
publishDate |
2013 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739601/ |
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1612002102860578816 |