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At least 595 records · Page 33Linked to original sources
PubMed1984

Extrahepatic biliary carcinoma in sloth bears.

Extrahepatic biliary carcinoma was found in each of 5 adult sloth bears that died between 1970 and 1984 while on exhibit in Ohio zoos. The tumor was characterized by numerous mucin-producing neoplastic glands scattered throughout abundant fibrous stroma. The cause of the tumor was not determined.

Adenocarcinoma, Scirrhous↗
PubMed1994

Biliary tract cancer.

Biliary tract cancer is a rare cancer in most parts of the world, but it is relatively common in some countries and ethnic groups, such as Japan, Central and South America, eastern Europe and in American Indians, and Hispanics. In some countries, such as Japan, Sweden, Finland and Italy, the age adjusted mortality of biliary tract cancer has been increasing, whereas in females in some other countries--Israel, The Netherlands, USA, Canada, Federal Republic of Germany, etc--mortality has been declining. The reasons for these geographical or ethnic variations and time trends for biliary tract cancer are not clear, but some unknown environmental risk factors or a genetic susceptibility are suspected. Not many analytical epidemiological studies on biliary tract cancer have been conducted yet and little is known about its aetiology apart from a close association with gall stones and a female preponderance of gall bladder cancer. Besides gall stones, some other factors such as obesity, pregnancy, female sex hormones, exposure in rubber and some other chemical industries and genetic factors have been suspected of being associated with gall bladder cancer directly or indirectly through cholelithiasis. As an artificial factor, the effect of the prevalence of cholecystectomy on biliary tract cancer must be considered. More studies are needed in the future to elucidate the aetiology of biliary tract cancer and to establish measures to prevent this cancer.

Americas↗
PubMedDate not supplied

[Percutaneous treatment of malignant stenoses of the hilum].

PURPOSE: The endoscopic treatment of malignant hilar obstruction is followed in 70% of the case by infection of undrained biliary sectors. We report the influence of complete biliary drainage on post procedural cholangitis. METHOD: From January 1990 to January 1993 we treated 120 consecutive patients presenting with a malignant hilar obstruction. There were 61 women and 59 men, mean age 65 +/- 7.5 years. The level of stenosis was type II in 45 patients (37%), type III in 18 patients (13%) and above type III in 57 patients (48%). Complete biliary drainage with multiple biliary access was attempted in all patients. Long term internal drainage was achieved by metallic autoexpansive endoprosthesis. RESULTS: Complete drainage was achieved in all patients with type II or type III biliary stenosis. Drainage was incomplete in all patients with biliary stenosis above type III. Early complications were observed in 35% of the patients. Persistent cholangitis, the most frequent complication (22%) was only observed in patients with above type III biliary stenosis. Mortality at 30 days was 17%. Recurrent biliary obstruction was observed in 22% of the patients after an average of 187 days. Median survival was 95 days. CONCLUSION: Complete biliary drainage prevents persistent cholangitis in patients with type II or III biliary stenosis without increasing other complications related to biliary drainage.

Adult↗