[Cholestatic icterus and subsequent diagnostic steps].
We report about a seventy year old patient with painless jaundice, loss of weight and signs of laboratory-confirmed cholestasis. A CT-Scan revealed a tumor mass in the pancreatic head with extensive liver metastasis. We illustrate the required diagnostic steps to assess cholestasis and painless icterus. A definite diagnosis can not always be made even with extensive histological or immunohistochemical workup.
Oberholzer
C
C
Medizinische Poliklinik, Universitätsspital Basel.
Keller
D I
DI
D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis* / Q000473:pathology; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D001706:Biopsy; D018281:Cholangiocarcinoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003937:Diagnosis, Differential; D006801:Humans; D007150:Immunohistochemistry; D041781:Jaundice, Obstructive / Q000175:diagnosis* / Q000209:etiology; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D008297:Male; D010179:Pancreas / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed