FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 342:663-664 March 2, 2000 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by de Groen, P. C. Related Article by de Groen, P. C. PubMed Citation

To the Editor: In our opinion, the diagnostic and preoperative approaches described by de Groen et al. in their review of biliary tract cancers (Oct. 28 issue)¹ are outdated. Patients with perihilar biliary tract tumors present with jaundice, and ultrasonography should be the initial imaging technique used. Ultrasonography can show intrahepatic biliary duct dilatation, with normal extrahepatic ducts, which is a useful indirect sign of perihilar cancer. However, ultrasonography rarely shows the tumor itself. Helical computed tomography (CT) should be performed to rule out liver and lymph-node metastases, as well as vascular encasement, but the proximal extent of the tumor . . . [Full Text of this Article]

References

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.