Klatskin's tumor. Presentation of a patient
Keywords:
liver neoplasmsAbstract
Klatskin's tumor usually presents as a diffuse nodular lesion, being refered to as colangiocarcinoma. It originates at the confluence of both hepatic ducts. This fact imposes the need of peering at hepatic ducts proximally in colangiography. First clinical manifestations of the disease includes biliar obstruction, thus producing a formerly painless jaundice, which later could become profound, in right hypochondrius, being fever rarely found. Because obstruction establishes gradually, diagnosis is often made at late stages when colangiocarcinoma produces clinical manifestations. Radiologically, biliar pathways enlarging is found. Radiotherapy and/or chemotherapy, together with external biliar pathway drainage improve clinical conditions palliatively.Downloads
References
1. Norton J, Green B. Enfermedad de vesicula y vias biliares. En: Harrison Principios de medicina interna. 13 ed. España: Mc Graw-Hill interamericana; 1994. p. 1730-1743.
2. Cello JP. Tumores de la vesícula biliar, las vías biliares y la ampolla. En: Sleinsenger & Fordtran. Enfermedades Gastrointestinales y Hepáticas. 6ta ed. Buenos Aires: Editorial Médica Panamericana; 2000. p. 750-754.
3. Leonardi LS, Miki Mochizuki F. Hepcentro Colangiocarcinoma. [serie en Internet]. [citado 11 ene 2005]:[aprox. 3p.]. Disponible en: http://www.colangiocarcinoma.htm
4. Fígado Icterícia no Adulto, Abscesso Hepático, Neoplasias Malignas do Fígado. Manual Merck: Abscessos Hepáticos. 2005. [serie en internet]. [citado 11 ene 2005]:[aprox. 4p.]. Disponible en: http://www.figadodeklatskin.htm
5. Medina L. Cirugía II: Ca de la Encrucijada Biliopancreatoduodenal. [serie en Internet]. [citado 11 ene 2005]:[aprox. 3p.]. Disponible en: http://www.aulavirtual.com.sv
6. Natitional Cancer Institute. Cáncer de las vías biliares extrahepáticas is redistributed by University of Bonn, Medical Center biliares extra Cáncer de las vías hepáticas 208/01196 F. [citado 22 feb 2005]:[aprox. 5p.]. Disponible en: http://www.cáncerdelasvíasbiliaresextrahepáticas.htm
7. Diagnostico y manejo endoscópico de vias biliares. [serie en Internet]. [citado 10 feb 2005]:[aprox. 4p.]. Disponible en:
http://www.Revista Colombiana de Gastroenterologia - BDiagnóstico y manejo endoscópico de las complicaciones biliares postoperatorias-B.htm
8. Lygidakis NJ. Changing trends in the management of Klastkin tumor. Hepatogastroenterology. 2004;51:689-696.
9. Pertejo Pastor V, Sala F. Tumores y estenosis del árbol biliar. En: Gastroenterología. Barcelona: Ediciones Doyma; 2004. Disponible en: http://www.asociacionespañoladegastroenterologia.htm
10. Calvo Hernán JF. Berenguer Lapuerta F. Tumores–Endoprotesis. [serie en Internet]. [citado 12 abr 2005]:[aprox. 5p.]. Disponible en: http://www.endoprobiliares.rev/gastroenterologia.mx
11. Rafael A. Prótesis. En: Medicina basada en le evidencia guia de manejo en gastroenterología. Barcelona: Ediciones Doyma; 2005. Disponible en: http://www.protesis biliar.htm
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).