title: [The clinico-morphological characteristics of cancer of the extrahepatic bile ducts (an analysis of 52 autopsy cases)].
abstract: Autopsy records have been analysed for 52 fatal cases of extrahepatic bile ducts cancer. Primary cancer most frequently involved common bile duct (37 cases). Histologically, skirr was found in 1 case, small-cell cancer in 1 case, adenocarcinoma in 50 cases. Radical and palliative surgery was performed in 4 and 24 cases, respectively. The invasion into the adjacent tissues and organs occurred in 34.6%, metastases were found in 32.7% of cases. Another primary lesion arose in 2 patients (sigmoid, thyroid cancer). 92.3% of patients developed jaundice with hepatic or hepatorenal insufficiency. Purulent hepatic disorder, impairment of intrahepatic bile ducts were seen in 40.4%. Focal pneumonia emerged in 32.7% of patients. Accurate lifetime diagnosis was made in 30 of 52 patients only.
authors.forename: V A
authors.initials: VA
authors.lastname: Samsonov
authors.forename: R M
authors.initials: RM
authors.lastname: Andreeva
authors.forename: L A
authors.initials: LA
authors.lastname: Fedorova
authors.forename: V V
authors.initials: VV
authors.lastname: Nekachalov
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000401:mortality / Q000473:pathology*; D000368:Aged; D000369:Aged, 80 and over; D001344:Autopsy / Q000706:statistics & numerical data; D001650:Bile Duct Neoplasms / Q000150:complications / Q000401:mortality / Q000473:pathology*; D017734:Bile Ducts, Extrahepatic / Q000473:pathology*; D002423:Cause of Death; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012426:Russia / Q000453:epidemiology
vernacular_title: Kliniko-morfologicheskaia kharakteristika raka vnepechenochnykh zhelchnykh protokov (analiz 52 autopsiĭnykh nabliudeniĭ).