PDF(Pubmed)
Abstract：
UNASSIGNED: It is still a challenging problem for clinicians to explore the nature of the indeterminate biliary strictures (IBSs). Approximately 20% of biliary strictures remain undetermined after a thorough preoperative assessment.
UNASSIGNED: Here, we present two cases of indeterminate biliary strictures patients, whose cross- sectional imaging and endoscopic examination were nondiagnostic. The patients underwent exploratory laparotomy finally and were confirmed as malignancy. We also reviewed the recent reports in literatures regarding the evaluation of IBSs.
UNASSIGNED: Given the majority of the biliary strictures are malignancy, preoperative differentiation between benign and malignant is critical for choosing the best therapeutic regimen. Thus, close follow-up, multiple multidisciplinary discussion, and prompt surgical exploration are necessary for some difficult diagnostic cases.
UNASSIGNED: Here, we present two cases of indeterminate biliary strictures patients, whose cross- sectional imaging and endoscopic examination were nondiagnostic. The patients underwent exploratory laparotomy finally and were confirmed as malignancy. We also reviewed the recent reports in literatures regarding the evaluation of IBSs.
UNASSIGNED: Given the majority of the biliary strictures are malignancy, preoperative differentiation between benign and malignant is critical for choosing the best therapeutic regimen. Thus, close follow-up, multiple multidisciplinary discussion, and prompt surgical exploration are necessary for some difficult diagnostic cases.
摘要：
■对于临床医生来说，探索不确定的胆道狭窄（IBS）的性质仍然是一个具有挑战性的问题。经过彻底的术前评估，约有20％的胆道狭窄仍未确定。
■这里，我们介绍了2例不确定的胆道狭窄患者，其横断面成像和内镜检查无诊断性。患者最终行剖腹探查术，确诊为恶性肿瘤。我们还回顾了最近有关IBS评估的文献报道。
■鉴于大多数胆道狭窄都是恶性肿瘤，术前区分良恶性是选择最佳治疗方案的关键。因此，密切跟进,多学科讨论，对于一些困难的诊断病例，需要及时的手术探查。
■这里，我们介绍了2例不确定的胆道狭窄患者，其横断面成像和内镜检查无诊断性。患者最终行剖腹探查术，确诊为恶性肿瘤。我们还回顾了最近有关IBS评估的文献报道。
■鉴于大多数胆道狭窄都是恶性肿瘤，术前区分良恶性是选择最佳治疗方案的关键。因此，密切跟进,多学科讨论，对于一些困难的诊断病例，需要及时的手术探查。
