Colangiocarcinoma extraheptico polipoideointraductal Colangiocarcinoma intraheptico polipoideointraductal Colangiocarcinoma extraheptico
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Colangiocarcinoma extrahepático polipoideo-intraductal
Colangiocarcinoma intrahepático polipoideointraductal
Colangiocarcinoma extrahepático polipoideointraductal: plano radial SSFSE con TR 2528 y TE 1477. 1, de grosor 50. 0
Colangiocarcinoma extrahepático polipoideointraductal: plano coronal SSFSE con TR 1910 y TE 119. 0, de grosor 7. 0
Colangiocarcinoma extrahepático polipoideointraductal: plano axial SSFSE con TR 1910 y TE 120. 6, de grosor 3. 0
Colangiocarcinoma extrahepático polipoideointraductal: plano axial SSFSE con TR 1910 y TE 120. 6, de grosor 3. 0
Colangiocarcinoma extrahepático polipoideointraductal: plano radial SSFSE con TR 2574 y TE 1431. 0, de grosor 50. 0
RESULTADOS: HUMS 2004 -2007 Sexo Edad Distribución A. Patológica Estado 59 casos 55, 94% V – 44, 06% M 71, 91 (30 -94) 22, 03% Intra, 22, 03% Extra, 55, 94% Hiliar. 45, 76% (96, 3% adenocarcinoma, 3, 7% adenoescamoso) 38, 99% exitus
Ecografía TC RM-Colangio. RM CPRE 92, 3% de intrahepáticos 92, 3% de extrahepáticos 84, 84% de hiliares 92, 3% de intrahepáticos 92, 3% de extrahepáticos 90, 90% de hiliares 69, 23% de intrahepáticos 33, 46% de extrahepáticos 51, 51% de hiliares 30, 76% de intrahepáticos 92, 3% de extrahepáticos 81, 81% de hiliares
CONCLUSIONES n n n Distribución ligeramente mayor en varones. Localización hiliar la más frecuente. TC > 90%, RM casi 50%. AP adenocarcinoma en 96%. Técnicas de elección para estudio: TC y RM para tumores intrahepáticos , ERCP y colangio. RM 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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