GROSS APPEARANCE OF CARCINOMA OF THE MAIN HEPATIC DUCT AND ITS PROGNOSIS

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  • 1 January 1980
    • journal article
    • research article
    • Vol. 150  (1) , 33-40
Abstract
Twenty-three patients with carcinoma of the hepatic hilus, including the upper 1/3 of the extrahepatic bile duct, were treated by surgical resections. Gross appearances of this lesion are classified into polypoid, nodular, scirrhous constricting and diffusely infiltrating types. Each type has a different resectability and prognosis from the macroscopic view point. The cell type in all patients was adenocarcinoma. Operation was curative in 100% of 4 patients with the polypoid type. The chance for survival was definitively better for patients with this type than with the other 3. Preoperative percutaneous transhepatic cholangiography, endoscopic retrograde cholangiography and celiac angiography can provide an excellent index to the resectability of the tumor and prognosis. Gross appearance of the tumor may be valid as a prognostic factor in the treatment of the lesion.

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