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http://dx.doi.org/10.1016/j.jacc.2023.04.033DOI Listing

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Purpose: Reports showed that some of intrahepatic cholangiocarcinoma (ICC) patients with lymph node metastasis (LNM) may also gain survival benefit undergone resection. However, the effect of the extent of LNM on prognosis and surgical indication is barely discussed.

Methods: From September 1994 to November 2018, primary ICC patients undergone initial curable surgery were enrolled.

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"Biloma" is a collection of bile outside of the biliary tree that could occur postoperatively in patients who undergo laparoscopic cholecystectomy or in patients with blunt trauma to the liver. Spontaneous or impulsive bilomas with no identifiable cause occur rarely. We report a case of a 60-year-old woman with no history of hepatobiliary surgery or trauma, who was admitted for right upper quadrant pain.

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Article Synopsis
  • A rare case of intrahepatic cholangiocarcinoma was reported in a 63-year-old woman, who underwent a left lobectomy after discovering a large tumor that produced granulocyte colony-stimulating factor (G-CSF).* -
  • Post-surgery, the patient experienced a recurrence with metastases detected in lymph nodes and the left kidney, highlighting the aggressive nature of the cancer and the importance of monitoring G-CSF levels along with imaging studies.* -
  • The case emphasizes the utility of FDG-PET imaging for diagnosing and assessing the viability of G-CSF producing tumors, as it revealed changes in bone marrow uptake correlating with tumor progression.*
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Background And Study Aims: The prevalence of periduodenal venous collaterals detected by endoscopic ultrasonography (EUS) in patients undergoing evaluation for pancreaticobiliary disorders, and their influence on the success of transduodenal fine-needle aspiration (FNA) of solid pancreatic masses is not known.

Patients And Methods: Records for all consecutive patients who underwent EUS for pancreaticobiliary disorders over a 14-month period were reviewed. EUS was carried out by a single endosonographer using a radial echo endoscope.

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