Resumo

CASTANO LLANO, Rodrigo. Hilar Cholangiocarcinoma (Klatskin tumor). Rev Col Gastroenterol [online]. 2011, vol.26, n.2, pp.121-130. ISSN 0120-9957.

This is a clinical case of a 71-year-old man with an obstructive lesion of the hepatic hilum, the clinical, imaging studies and the lab tests suggest a Klatskin tumor, which was managed by percutaneous biliary drainage to relieve the jaundice. In this review we consider the pathogenetic factors of these tumors, a new anatomic classification and the various alternative imaging studies, emphasizing the Bismuth-Corlette classification. Confront palliative alternatives, such as different types of endoscopic stents or percutaneous approach, drainage extension (uni or bilateral). Finally, we review the surgical aspects and possibilities of chemotherapy and radiotherapy in these tumors.

Palavras-chave : Hilar cholangiocarcinoma; endoscopic retrograde cholangiography; nuclear magnetic resonance cholangiography; hepatobiliary surgery.

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