Accurate Diagnosis After Multidisciplinary Tumor Board: A Case Report of Cholangiocarcinoma

Amanda Kostryk, Ravi Patel, JulieAnn Warner, Joel Thompson
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Abstract

Abstract Multidisciplinary tumor boards (MDTBs) provide a venue for discussion of diagnosis, staging, and treatment of patients with cancer. MDTBs have been shown to improve diagnostic accuracy and staging, exemplified in this patient with a hepatic flexure mass on colonoscopy and initial pathology suggestive of primary colonic adenocarcinoma with surface mucosal involvement. However, subsequent CT imaging revealed a biliary malignancy invading the colon. Discussion at a MDTB facilitated radiology-pathology correlation, with subsequent immunohistochemical stains compatible with a cholangiocarcinoma with transmural colonic invasion. Prompt and accurate diagnosis after the MDTB enabled the oncology team to offer the proper treatment approach.
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多学科肿瘤检查后准确诊断胆管癌1例
多学科肿瘤委员会(mdtb)为癌症患者的诊断、分期和治疗提供了一个讨论的场所。mdtb已被证明可以提高诊断准确性和分期,例如该患者结肠镜检查显示肝脏弯曲肿块,初始病理提示原发性结肠腺癌并累及表面粘膜。然而,随后的CT成像显示胆道恶性肿瘤侵入结肠。在MDTB的讨论促进了放射学-病理学的相关性,随后的免疫组织化学染色与胆管癌经壁结肠侵袭相一致。MDTB后的及时和准确的诊断使肿瘤团队能够提供适当的治疗方法。
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