ISSN: 1859 - 2872
Diagnosis of cholangiocarcinoma by using the SpyGlass™ Spyscope system: A case report
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Abstract
Cholangiocarcinoma accounts for almost 3% of all gastrointestinal cancers, and about one-fourth of cases with cholangiocarcinoma are extrahepatic cholangiocarcinomas [3]. Prognosis depends on early diagnosis and curative treatment. We report a case of the extrahepatic cholangiocarcinoma, which was diagnosed by using the SpyGlass™ Spyscope system. A 45 year old male patient with history of cholecystectomy who presented with fever and ague. Laboratory data: Bilirubin total: 59µmol/l, liver enzyme AST: 58U/l, ALT: 82U/l, GGT: 611U/l, tumor marker: CA19-9: 7.9U/ml, CEA: 1ng/ml. Abdominal ultrasound and CT scanner showed: Left hepatic duct was dilated 16.8mm, right hepatic duct 17.5mm, common bile duct 15mm with thickened wall. We performed SpyGlass-procedure and a 4 biopsy specimens were obtained using the SpyBite forceps. The cyto-pathology result was bile duct adenocarcinoma.
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References
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