title: [Cancer at confluence of the superior bile ducts with proliferating form. Nosologic, diagnostic and therapeutic aspects. Apropos of a case].
abstract: The authors report a case of fungating cholangiocarcinoma of the porta hepatis, revealed by jaundice in a 73-year- old cholecystectomized female. The diagnosis of obstruction of the hepatic duct junction suspected by ultrasonography and computed tomography was confirmed intraoperatively. Disobstruction was followed by laterolateral choledocoduodenostomy. An early recurrence required a second disobstruction with surgical then endoscopic insertion of a drain, with 23 months of satisfactory survival. The discussion is focused on hilar fungating cholangiocarcinoma. The extrahepatic (Klatskin tumor) or intrahepatic origin of these lesions, the circumstances and morphological investigations for the diagnosis are discussed. Particularities of the treatment are mentioned, with emphasis on the possible participation of the endoscopist for choledocho or hepaticoduodenostomy.
authors.affiliation: Service de Chirurgie A, Hôpital Manchester, Charleville-Mezières.
authors.forename: G
authors.initials: G
authors.lastname: Solovei
authors.forename: A
authors.initials: A
authors.lastname: Alame
authors.forename: J
authors.initials: J
authors.lastname: Petit
authors.forename: J M
authors.initials: JM
authors.lastname: Favriel
authors.forename: H
authors.initials: H
authors.lastname: al Hareiss
authors.forename: F
authors.initials: F
authors.lastname: Glavier
authors.forename: P
authors.initials: P
authors.lastname: Cart
authors.forename: J P
authors.initials: JP
authors.lastname: Fauchart
mesh_terms: D002759:Adenoma, Bile Duct / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D000368:Aged; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002780:Cholestasis, Intrahepatic / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
vernacular_title: Cancer du confluent biliaire supérieur à forme bourgeonnante. Particularités nosologiques, diagnostiques et thérapeutiques. A propos d'un cas.