1
Q
Histologic types of intrahepatic cholangioca?
A
- Mass forming
- Periductal infiltrating
- Intra-ductal
2
Q
ICC prognostic factors?
A
Node positivity
Number of tumors (not size)
Vascular invasion
3
Q
Cholangiocarcinoma adjuvant therapy?
A
Cape for 6 months (BILCAP)
4
Q
Chemotherapy for advanced ICC?
A
Gem/Cis (ABC-02)
5
Q
Extrahepatic cholangio morphologic types?
A
- Sclerosing ( 70 %, no mass, strictures, worst outcome)
- Nodular (20%), some mass, strictures
- Papillary (10%, intraluminal, no stricture, best outcome)
6
Q
ICC Caudate lobe reasons for resection?
A
- Involved in 35 %
- Borders between liver and caudate unclear
- Caudate recurrence high
7
Q
Mayo protocol hilar cholangio?
A
5-FU + EBRT
Brachy boost
Maintenance Cape
Transplant after
8
Q
Gall bladder adeno T stage?
A
T1a- Mucosa
T1b- Muscularis
T2a- Peritoneal side serosa
T2b- hepatic side invasion
T1b and above radical chole
9
Q
ICC imaging findings?
A
Arterial enhancement without venous washout
Capsular retraction when present pathognomonic
10
Q
ICC minimum lymph nodes?
A
6
11
Q
Hilar cholangio indications for PBD?
A
- If FLR <30% drainage reduces hepatic failure
- If PVE required
- Cholangitis
- If receiving neoadjuvant chemo
- Severe malnutrition
