Management of the patient with cholangiocarcinoma
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چکیده
These patients have a poor prognosis, as the lesions usually present with jaundice due to invasion and obstruction of the duct. They spread to surrounding tissues, including the portal vein and lymph nodes, metastasize to the liver, and can be multifocal, particularly with PSC. Staging of the disease is performed with CT or MRI. Endoscopic ultrasound can outline invasion into the biliary duct and laparoscopic ultrasound can pick up peritoneal or local spread. PATHOLOGY OF THE GALLBLADDER AND BILIARY TREE 75
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