Following en bloc clamping of the renal
hilar vessels, the mass was excised in completion.
Hilar cholangiocarcinoma: preoperative liver optimization with multidisciplinary approach.
We analyzed fifty three patients who underwent EBUS-TBNA at the department of Pulmonology PEMH for the evaluation of meditational or
hilar lesions fulfilling inclusion criteria between July 2015 to March 2016.
On chest ultrasonography (USG), air bronchograms were ound in the right middle lobe, and pneumonic consolidation,
hilar lymphadenopathies (LAP) on the right side and suspicious calcifications in the LAPs were observed.
The endobronchial ultrasound-guided transbronchial needle biopsy learning curve for mediastinal and
hilar lymph node diagnosis.
In addition, thoracic and cervical MRI showed that the leptomeningeal enhancements along the spinal cord had completely resolved and the
hilar lymphadenopathy had disappeared.
Careful gross examination should determine whether the tumor extends through the tunica albuginea and whether it invades the epididymis and/or
hilar soft tissue and/or spermatic cord.
Tuberculin skin test was 5 mm; computed tomography (CT) of the thorax revealed interlobular septal thickening, bilateral
hilar and mediastinal lymphadenopathy, and mosaic attenuation of the lungs.
A local recurrence was defined as recurrence at the liver hilum (including
hilar lymph node metastases), liver resection margin, distal common bile duct, or cholangiojejunostomy site.
It is difficult to confirm the diagnosis in patients suspected to have ocular sarcoidosis without biopsy findings or significant extraocular manifestations, such as bilateral
hilar lymphadenopathy, increased serum angiotensin-converting enzyme (ACE) level, and other laboratory findings.
Regional chest diseases and lymphoma understandably involve mediastinal and
hilar lymph nodes.
In the early 2000's, a minimally invasive convex probe endobronchial ultrasound (EBUS) procedure able to perform real-time transbronchial needle aspiration (TBNA) was described with high accuracy for mediastinal and
hilar lymph node staging [3].
Non-contrast-enhanced computed tomography of the chest (Figure 1) revealed large right-sided pleural effusion, and contrast-enhanced computed tomography of the abdomen and pelvis (Figure 2) revealed bilateral
hilar adenopathy, ascites, thickening and enhancement of the peritoneum, and mottled nodular-appearing soft tissue consistent with omental caking suspicious for peritoneal carcinomatosis.
CT abdomen and pelvis showed a hepatic
hilar mass with features suggestive of a malignant lesion that was further evaluated with a liver magnetic resonance imaging (MRI).
