모호한 담관협착 그리고/또는 확장의 실질적인 다학제적 관리 -도전이 필요하나 필수적인 영상학적 감별진단-
(주)코리아스칼라
- 최초 등록일
- 2023.04.03
- 최종 저작일
- 2023.01
- 4페이지/ 어도비 PDF
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서지정보
ㆍ발행기관 : 대한췌담도학회
ㆍ수록지정보 : 대한췌담도학회지 / 28권 / 1호
ㆍ저자명 : 오현석
목차
서 론
본 론
결 론
요 약
ORCID
REFERENCES
영어 초록
The most important aspect of the imaging role for indeterminate bile duct stricture is to make a differential diagnosis on whether the stricture is highly likely to be malignant or benign. Compared to benign stricture, malignant stricture is longer, thicker, and has indistinct outer border and irregularity of the lumen in contrastenhanced computed tomography and magnetic resonance (MR). Also, in the contrast-enhanced portal phase, malignant stricture has a stronger enhancement than the liver parenchyma. There are studies to differentiate between malignant and benign stricture in diffusion weighted image, a functional MR image, but there remains controversial. Sometimes, malignant biliary stricture may be caused by bile duct invasion of gallbladder cancer, pancreatic cancer, hepatocellular carcinoma, biliary metastasis, and lymphoma. Among the potential causes of indeterminate biliary stricture, the characteristics of multifocal biliary stricture mainly suggest benign sclerosing cholangitis, and various external compression factors that cause biliary stricture can be differentiated by radiologic imaging. There are causes of biliary dilatation without obstructive lesion, radiologic diagnosis can be made by considering various characteristics.
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