Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings

Yıl: 2019 Cilt: 5 Sayı: 2 Sayfa Aralığı: 317 - 323 Metin Dili: Türkçe DOI: 10.17954/amj.2019.1760 İndeks Tarihi: 26-11-2019

Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings

Öz:
Objective: Endosonographic (EUS) features of cholangiocarcinoma (CC) have not been clearlydescribed in the literature. The aim of our study was to determine the EUS features of CC and tocompare them to computed tomography (CT) and endoscopic retrograde cholangiography (ERCP)findings.Material and Methods: Thirty-five patients who were diagnosed with CC between January2008 and January 2011 were recruited in the study. Their EUS, CT, and ERCP findings wereretrospectively evaluated.Results: EUS showed a hypoechoic mass lesion in 33 (95%) patients. CT and ERCP findings wereconcordant with EUS findings in terms of localization of the tumor. The margin and contour ofthe mass lesions were regular and well defined in 15 patients; however, they were irregular and illdefined in 20. Considering these features, we identified 2 patterns of CC on EUS: 1) a hypoechoiclesion with an irregular and ill-defined border without a clear relationship with the bile ducts and 2) ahypoechoic lesion with a regular and well-defined border, with the relationship to the bile ducts clearlydemonstrated.Conclusion: In this retrospective study, EUS revealed mass lesions in all the patients with CC. CCmay exhibit two distinct patterns on EUS.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Kolanjiokarsinomun Endosonografik Özellikleri ve Bilgisayarlı Tomografi ve Endoskopik Retrograd Kolanjiyografi Bulguları ile Karşılaştırılması

Öz:
Amaç: Literatürde kolanjiokarsinomun (CC) endosonografik (EUS) özellikleri açık bir şekilde tanımlanmamıştır. Çalışmamızın amacı, CC'nin EUS özelliklerini belirlemek ve bunları bilgisayarlı tomografi (BT) ve endoskopik retrograd kolanjiyografi (ERCP) bulgularıyla karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya Ocak 2008-Ocak 2011 tarihleri arasında KK tanısı konan 35 hasta alındı. EUS, BT ve ERCP bulguları retrospektif olarak değerlendirildi. Bulgular: EUS, 33 (% 95) hastada hipoekoik kitle lezyonu gösterdi. BT ve ERCP bulguları, tümörün lokalizasyonu açısından EUS bulguları ile uyumluydu. Kitle lezyonlarının kenar ve konturları 15 hastada düzenli ve iyi tanımlanmış, ancak 20 hastada düzensiz ve kötü tanımlanmıştır. Bu özellikleri göz önünde bulundurarak, EUS üzerinde 2 adet CC paterni belirledik: 1) safra kanalları ile net bir ilişkisi olmayan, düzensiz ve kötü sınır ile tanımlı hipoekoik bir lezyon 2) safra kanalları ile ilişkisi açıkça görülen, düzenli ve iyi bir sınır ile tanımlı hipoekoik bir lezyon. Sonuç: Bu retrospektif çalışmada EUS, CC'li tüm hastalarda kitle lezyonlarını ortaya koydu. CC, EUS üzerinde iki ayrı paten sergileyebilir.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA AKSAKAL G, AKIN M, SONGÜR Y (2019). Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. , 317 - 323. 10.17954/amj.2019.1760
Chicago AKSAKAL Gökhan,AKIN Mete,SONGÜR Yıldıran Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. (2019): 317 - 323. 10.17954/amj.2019.1760
MLA AKSAKAL Gökhan,AKIN Mete,SONGÜR Yıldıran Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. , 2019, ss.317 - 323. 10.17954/amj.2019.1760
AMA AKSAKAL G,AKIN M,SONGÜR Y Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. . 2019; 317 - 323. 10.17954/amj.2019.1760
Vancouver AKSAKAL G,AKIN M,SONGÜR Y Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. . 2019; 317 - 323. 10.17954/amj.2019.1760
IEEE AKSAKAL G,AKIN M,SONGÜR Y "Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings." , ss.317 - 323, 2019. 10.17954/amj.2019.1760
ISNAD AKSAKAL, Gökhan vd. "Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings". (2019), 317-323. https://doi.org/10.17954/amj.2019.1760
APA AKSAKAL G, AKIN M, SONGÜR Y (2019). Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. Akdeniz Tıp Dergisi, 5(2), 317 - 323. 10.17954/amj.2019.1760
Chicago AKSAKAL Gökhan,AKIN Mete,SONGÜR Yıldıran Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. Akdeniz Tıp Dergisi 5, no.2 (2019): 317 - 323. 10.17954/amj.2019.1760
MLA AKSAKAL Gökhan,AKIN Mete,SONGÜR Yıldıran Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. Akdeniz Tıp Dergisi, vol.5, no.2, 2019, ss.317 - 323. 10.17954/amj.2019.1760
AMA AKSAKAL G,AKIN M,SONGÜR Y Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. Akdeniz Tıp Dergisi. 2019; 5(2): 317 - 323. 10.17954/amj.2019.1760
Vancouver AKSAKAL G,AKIN M,SONGÜR Y Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings. Akdeniz Tıp Dergisi. 2019; 5(2): 317 - 323. 10.17954/amj.2019.1760
IEEE AKSAKAL G,AKIN M,SONGÜR Y "Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings." Akdeniz Tıp Dergisi, 5, ss.317 - 323, 2019. 10.17954/amj.2019.1760
ISNAD AKSAKAL, Gökhan vd. "Endosonographic Features of Cholangiocarcinoma and Comparison with Computed Tomography and Endoscopic Retrograde Cholangiography Findings". Akdeniz Tıp Dergisi 5/2 (2019), 317-323. https://doi.org/10.17954/amj.2019.1760