However, over half of the patients present late with unresectable tumors. Surgical resection with a tumor free margin is the only curative treatment for hilar cholangiocarcinoma klatskin tumor. Mark fraiman, md st joseph medical center liver and pancreas center 23,239 views. Pdf diagnosis and management of klatskin tumor researchgate. Pdf on apr 1, 2010, dicky levenus tahapary and others published diagnosis and management of klatskin tumor find, read and cite all the. The disease was named after gerald klatskin, who in 1965 described 15 cases and found some characteristics for this type of cholangiocarcinoma 1 2 3. A, klatskins tumor tumor located in the hepatic duct bifurcation in a patient with primary sclerosing cholangitis. A klatskin tumor or hilar cholangiocarcinoma is a cholangiocarcinoma cancer of the biliary tree occurring at the confluence of the right and left hepatic bile ducts.
Lymph node invasion, tumor grade and negative margins are. Demographics, tumor characteristics, treatment, and survival of. A gradual decline in the incidence was noted, with the highest 0. Demographics, tumor characteristics, treatment, and. Typically, these tumors are small, poorly differentiated, exhibit aggressive biologic behavior, and tend to obstruct the intrahepatic bile ducts. Males had a higher incidence of klatskin tumors compared to females 0. Klatskin tumors, or hilar ccas, are bile duct tumors that involve the common hepatic duct bifurcation but may arise from the intrahepatic ihcca. Klatskin tumor is a term that was traditionally given to a hilar cholangiocarcinoma, occurring at the bifurcation of the common hepatic duct. Pdf on jan 1, 2016, daniel v kostov and others published klatskin tumors. Complete removal of the tumor remains the therapeutic aim but clinical presentation and imaging modalities cannot help to differentiate between klatskin tumors and klatskin mimicking lesions prior. Request pdf hilar cholangiocarcinoma klatskin tumor this is a clinical case of a 71yearold man with an obstructive lesion of the hepatic hilum, the clinical, imaging studies and the lab.
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