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Assessment of endoscopic aspiration cytology and endoscopic retrograde cholangio-pancreato-graphy in patients with cancer of the hepato-biliary tract part II

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Summary

Aspiration cytology and ERCP were evaluated in 66 patients with cancer of the hepato-biliary tract. Cytology was diagnostic in 100% of ampullary cancer, 83% of cancer of extrahepatic bile duct, 0% of cancer of intrahepatic bile duct, 25% of cancer of gall bladder and 0% of cancer of liver. ERCP was diagnostic in 65% of ampullary cancer, 90% of cancer of extrahepatic bile duct, 100% of cancer of intrahepatic bile duct, 25% of cancer of gall bladder and 25% of cancer of liver. Endoscopie findings was diagnostic in 77% of cancer of ampullary region. By combining these approaches, a diagnostic result was obtained in 100% of ampullary cancer, 96.5% of cancer of extrahepatic bile duct, 100% of cancer of intrahepatic bile duct, 50% of cancer of gall bladder and 25% of cancer of liver.

It is concluded that the combined diagnostic approach has enhanced the diagnostic accuracy of malignant lesions of the hepato-biliary tract and that it has not yet led to an improvement in resectability and mortality.

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Authors and Affiliations

  1. The Second Department of Medicine, Okayama University Medical School, Okayama

    Hideo Harada M.D., Tetsuro Sasaki M.D., Nihei Yamamoto M.D., Juntaro Tanaka M.D., Yoshihisa Tomiyama M.D., Tatsuru Hinofuji M.D., Kuniki Mishima M.D. & Ikuro Kimura M.D.

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  1. Hideo Harada M.D.
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  2. Tetsuro Sasaki M.D.
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  3. Nihei Yamamoto M.D.
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  4. Juntaro Tanaka M.D.
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  5. Yoshihisa Tomiyama M.D.
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  6. Tatsuru Hinofuji M.D.
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  7. Kuniki Mishima M.D.
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  8. Ikuro Kimura M.D.
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Harada, H., Sasaki, T., Yamamoto, N. et al. Assessment of endoscopic aspiration cytology and endoscopic retrograde cholangio-pancreato-graphy in patients with cancer of the hepato-biliary tract part II. Gastroenterol Jpn 12, 59–64 (1977). https://doi.org/10.1007/BF02774003

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  • DOI: https://doi.org/10.1007/BF02774003

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