Colangiocarcinoma extrahepático polipoideo-intraductal.

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Presentation transcript:

Colangiocarcinoma extrahepático polipoideo-intraductal

Colangiocarcinoma intrahepático polipoideo- intraductal

Colangiocarcinoma extrahepático polipoideo- intraductal: plano radial SSFSE con TR 2528 y TE , de grosor 50.0

Colangiocarcinoma extrahepático polipoideo- intraductal: plano coronal SSFSE con TR 1910 y TE 119.0, de grosor 7.0

Colangiocarcinoma extrahepático polipoideo- intraductal: plano axial SSFSE con TR 1910 y TE 120.6, de grosor 3.0

Colangiocarcinoma extrahepático polipoideo- intraductal: plano radial SSFSE con TR 2574 y TE , de grosor 50.0

RESULTADOS: HUMS casos Sexo 55,94% V – 44,06% M Edad 71,91 (30-94) Distribución 22,03% Intra, 22,03% Extra, 55,94% Hiliar. A. Patológica 45,76% (96,3% adenocarcinoma, 3,7% adenoescamoso) Estado 38,99% exitus

Ecografía 92,3% de intrahepáticos 92,3% de extrahepáticos 84,84% de hiliares TC 92,3% de intrahepáticos 92,3% de extrahepáticos 90,90% de hiliares RM-ColangioRM 69,23% de intrahepáticos 33,46% de extrahepáticos 51,51% de hiliares CPRE 30,76% de intrahepáticos 92,3% de extrahepáticos 81,81% de hiliares

CONCLUSIONES Distribución ligeramente mayor en varones. Distribución ligeramente mayor en varones. Localización hiliar la más frecuente. Localización hiliar la más frecuente. TC > 90%, RM casi 50%. TC > 90%, RM casi 50%. AP adenocarcinoma en 96%. AP adenocarcinoma en 96%. Técnicas de elección para estudio: TC y RM para tumores intrahepáticos, ERCP y colangioRM para extrahepáticos. Técnicas de elección para estudio: TC y RM para tumores intrahepáticos, ERCP y colangioRM para extrahepáticos.

AGRADECIMIENTOS Al servicio de Anatomía Patológica del H. U. Miguel Servet de Zaragoza, en particular a la Dra. Ana Fuertes, por su colaboración con las imágenes de las piezas quirúrgicas

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