EDITOR'S QUIZ: GI SNAPSHOT
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| The first 150 words of the full text of this article appear below. |
From question on page 1435
Close contrast enhanced ultrasound (CEU) examination using Levovist (SH U 508A; Schering, Berlin, Germany) depicted papillary masses in the cystic area (fig 2). Cytology via nasobiliary tube demonstrated class IV findings (Papanicolau), suggesting adenocarcinoma. The patient hesitated about undergoing an operation as she was symptom free. However, the tumour gradually grew and the patient recently consented to radical surgery, which is scheduled for the near future.
Cholangiocellular carcinomas are grossly characterised into three types: mass forming, periductal infiltrating, and intraductal growth.1 The clinical manifestation of the last type shows a striking homology with the recently established entity of intraductal papillary mucinous tumour of the pancreas,2–8 which shows a relatively better prognosis, slow growth, rarely infiltrating the surrounding parenchyma, and frequently demonstrating an adenoma to carcinoma sequence.9,10
Diagnosis of this entity can be established by obtaining characteristic findings. As indicated in the present case, however, there
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Gut 2006 55: 1435.[Extract] [Full Text] [PDF]
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