HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Tamada, K. Articles by Sugano, K. Search for Related Content PubMed PubMed Citation Articles by Tamada, K. Articles by Sugano, K. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Multiple Bile Duct Biopsies Using a Sheath with a Side Port

Usefulness of Intraductal Sonography

¹ All authors: Department of Gastroenterology, Jichi Medical School, Yakushiji, Tochigi 329-0498, Japan.

View larger version (46K): [in a new window]   Fig. 1. —Drawing shows biopsy schema. Biopsy forceps are inserted through sheath. Side port of sheath is used to inject contrast material.

View larger version (56K): [in a new window]   Fig. 2A. —Drawings show schema of sonographic findings. Arrow at bottom of drawings shows scanning from proximal side to center of tumor. Drawing of sonogram shows polypoid lesion with narrow base. T = tumor, BD = bile duct, left = proximal side of tumor, right = center of tumor.

View larger version (56K): [in a new window]   Fig. 2B. —Drawings show schema of sonographic findings. Arrow at bottom of drawings shows scanning from proximal side to center of tumor. Drawing of sonogram shows circular lesion and circumferential thickening of bile duct by tumor (right). At center of tumor (T), width of lesion (distance between probe and outer margin of tumor, B) is thicker than width of bile duct (BD) wall (inner hypoechoic layer, A) of proximal side. left = proximal side of tumor, right = center of tumor.

View larger version (54K): [in a new window]   Fig. 2C. —Drawings show schema of sonographic findings. Arrow at bottom of drawings shows scanning from proximal side to center of tumor. Drawing of sonogram shows semicircular lesion and eccentric thickening of bile duct by tumor (right). At center of tumor (T), width of hypoechoic layer of thinnest side (B) is equal to that of proximal side (A). BD = bile duct, left = proximal side of tumor, right = center of tumor.

View larger version (80K): [in a new window]   Fig. 3A. —84-year-old man with common bile duct cancer (polypoid lesion on sonograms). Cholangiogram shows polypoid tumor (arrow). Forceps are advanced to tumor through sheath (arrowhead).

View larger version (176K): [in a new window]   Fig. 3B. —84-year-old man with common bile duct cancer (polypoid lesion on sonograms). Sonogram shows polypoid lesion (arrowheads) with narrow base (arrow) at proximal side of main tumor (T). BD = bile duct.

View larger version (154K): [in a new window]   Fig. 3C. —84-year-old man with common bile duct cancer (polypoid lesion on sonograms). Sonogram at center of tumor (T) shows tumor around probe in circular fashion (arrowheads).

View larger version (122K): [in a new window]   Fig. 3D. —84-year-old man with common bile duct cancer (polypoid lesion on sonograms). Histologic examination of resected specimen shows cancer cells in entire polypoid tumor (arrowheads). (H and E, x2)

View larger version (135K): [in a new window]   Fig. 4A. —68-year-old man with common hepatic duct cancer (circular lesion on sonograms). Sonogram shows wall thickening (arrowheads) at proximal side of main tumor (T). Arrows = width of bile duct, BD = bile duct, A = inner hypoechoic layer.

View larger version (152K): [in a new window]   Fig. 4B. —68-year-old man with common hepatic duct cancer (circular lesion on sonograms). Sonogram at center of tumor (T) shows tumor around probe in circular fashion (arrowheads). In this position, distinction between polypoid lesion (Fig. 3C) and circular lesion (Fig. 4B) is difficult. At center of tumor, width of tumor (distance between probe and outer margin of tumor, width of B) is thicker than width of bile duct wall (inner hypoechoic layer, width of A in Fig. 4A) of proximal side.

View larger version (115K): [in a new window]   Fig. 4C. —68-year-old man with common hepatic duct cancer (circular lesion on sonograms). Histologic examination of resected specimen shows cancer cells in circular fashion in bile duct mucosa and submucosal tissue (arrowheads). (H and E, x2)

View larger version (178K): [in a new window]   Fig. 5A. —66-year-old man with common hepatic duct cancer (semicircular lesion on sonograms). Sonogram shows semicircular wall thickening (arrowheads) at proximal side of main tumor (T). Arrows = width of bile duct, BD = bile duct, A = proximal side of tumor.

View larger version (170K): [in a new window]   Fig. 5B. —66-year-old man with common hepatic duct cancer (semicircular lesion on sonograms). Sonogram at center of tumor (T) shows tumor in semicircular fashion (arrowheads). At center of tumor, width of hypoechoic layer of thinnest side (width of B) is equal to that of proximal side (width of A in Fig. 5A).

View larger version (161K): [in a new window]   Fig. 5C. —66-year-old man with common hepatic duct cancer (semicircular lesion on sonograms). Histologic examination of resected specimen shows cancer cells in semicircular fashion in bile duct mucosa and submucosal tissue (arrowheads). (H and E, x2)

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati