[Value of ultrasound in diagnosis of bile duct tumors].
Resectability of biliary duct carcinomas depends mainly on the extension of the tumour mass. The value of ultrasonography (US) in demonstrating the tumour itself was compared with computed tomography (CT) and endoscopic retrograde cholangiography (ERCP)/percutaneous cholangiography (PTC) in 84 patients with biliary duct carcinoma (31 tumours of the hilar region, 50 distal tumours and 3 recurrent gallbladder carcinomas). The level of obstruction was correctly indicated by US in 96% of the cases. Correct visualisation by US of the tumour itself was possible in 68% of proximal tumours and 36% with distal tumours. CT accurately detected 74% of proximal and 48% of distal tumours. ERC/PTC identified intraductal tumour growth in all patients. The level of obstruction can be accurately identified by US and CT. The tumour itself cannot be visualised by imaging methods in 25-50% of the cases, depending on the localisation of the tumour.
Höring
E
E
Medizinische Klinik, Krankenhaus Bad Cannstatt, Stuttgart.
Künzig
B
B
von Gaisberg
U
U
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D001661:Biliary Tract Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005706:Gallbladder Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D018285:Klatskin Tumor / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Stellenwert der Sonographie in der Diagnostik von Gallengangstumoren.