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THE DIFFICULTIES OF DIFFERENTIAL DIAGNOSIS OF EDEMATOUS AND ANEMIC SYNDROMES IN AN EDERLY PATIENT WITH ATYPICAL COURSE OF COELIAC DISEASE.

Eksperimental'naia i klinicheskaia gastroenterologiia = Experimental & clinical gastroenterology·2018

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Robotic Taj Mahal Hepatectomy for Hilar Cholangiocarcinoma

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[ASYMPTOMATIC INTRAHEPATIC CHOLANGIOCARCINOMA].

I A Grishechkina, L N Gasanenko, N A Kondrateva

Eksperimental'Naia I Klinicheskaia Gastroenterologiia = Experimental & Clinical Gastroenterology

|October 5, 2018

Summary

Diagnosing intrahepatic cholangiocarcinoma is challenging due to overlapping symptoms with femoral artery atherosclerosis. Early cancer detection requires advanced imaging and tumor markers to differentiate these conditions.

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Area of Science:

Hepatobiliary Medicine
Vascular Surgery
Oncology

Background:

Intrahepatic cholangiocarcinoma (ICC) is a rare liver cancer.
Atherosclerotic lesions of the femoral arteries can cause similar pain symptoms.

Observation:

This report details a rare case of ICC.
Delayed diagnosis occurred due to confounding symptoms of lumbar spine pain.
Femoral artery atherosclerosis mimicked pain localization, hindering timely cancer investigation.

Findings:

ICC diagnosis was posthumous.
Overlapping pain symptoms complicated early detection.
Concurrent femoral artery disease masked the tumor progression signs.

Implications:

Enhanced diagnostic protocols are crucial for ICC.
Utilizing advanced imaging like MRI and PET scans is recommended.
Monitoring tumor markers such as CA-19-9 aids in differential diagnosis.