What are the imaging criteria for assessing local invasion of cholangiocarcinoma?

Updated: Apr 13, 2018
  • Author: Mahesh Kumar Neelala Anand, MBBS, DNB, FRCR; Chief Editor: John Karani, MBBS, FRCR  more...
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Answer

Answer

The criteria for local tumor invasion includes the following:

  • Bilateral hepatic duct involvement up to secondary biliary radicles

  • Encasement or occlusion of the main portal vein

  • Unilateral tumor extension to secondary biliary radicles with contralateral portal vein or hepatic artery encasement or occlusion

  • Hepatic lobar atrophy with contralateral portal vein or hepatic artery encasement or occlusion

  • Hepatic lobar atrophy with contralateral tumor extension to secondary biliary radicles

  • Insufficient predicted hepatic reserve following extended hepatectomy


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