Imaging and Screening of Cancer of the Gallbladder and Bile Ducts

Kumar Sandrasegaran; Christine O Menias

doi:10.1016/j.rcl.2017.06.005

Imaging and Screening of Cancer of the Gallbladder and Bile Ducts

Radiol Clin North Am. 2017 Nov;55(6):1211-1222. doi: 10.1016/j.rcl.2017.06.005.

Authors

Kumar Sandrasegaran¹, Christine O Menias²

Affiliations

¹ Department of Radiology, Indiana University School of Medicine, UH 0279, 550 North University Boulevard, Indianapolis, IN 46202, USA. Electronic address: ksandras@iupui.edu.
² Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

PMID: 28991561
DOI: 10.1016/j.rcl.2017.06.005

Abstract

Biliary cancers include gallbladder cancer (GBC) and cholangiocarcinoma (CCA). GBC may appear as a mass replacing the gallbladder, thickened gallbladder wall, or polypoid lesion in the gallbladder. Gallbladder polyps with low risk of GBC (eg, 6- to 10-mm polyps without other risk factors) are screened with sonography. In general, polyps smaller than 5 mm are ignored and those larger than 10 mm require surgical consideration. Screening for CCA is less well-established. On imaging, CCA may be divided into mass-forming, periductal infiltrating, and intraductal types. This review discusses the current state of screening and diagnosis of GBC and CCA.

Keywords: CT; Cholangiocarcinoma; Gallbladder cancer; MR imaging; Sclerosing cholangitis.

Publication types

Review

MeSH terms

Bile Duct Neoplasms / diagnostic imaging*
Bile Ducts / diagnostic imaging
Diagnostic Imaging / methods*
Gallbladder / diagnostic imaging
Gallbladder Neoplasms / diagnostic imaging*
Humans
Magnetic Resonance Imaging / methods
Positron Emission Tomography Computed Tomography / methods
Ultrasonography / methods