Algorithm for the Diagnosis of Intrahepatic Cholangiocarcinoma - Flowchart

Algorithm for the Diagnosis of Intrahepatic Cholangiocarcinoma - Flowchart

Algorithm for the Diagnosis of Intrahepatic Cholangiocarcinoma - Flowchart Cholangiocarcinoma Cholangiocarcinoma

«Flowchart»

Malignant-appearing intrahepatic mass on CT or MRI

Malignant-appearing intrahepatic mass on CT or MRI

Malignant-appearing intrahepatic mass on CT or MRI

Malignant-appearing intrahepatic mass on CT or MRI

Evaluate for metastatic disease

Evaluate for metastatic disease

Evaluate for metastatic disease

Evaluate for metastatic disease

Obvious history of extrahepatic primary malignancy?

Obvious history of extrahepatic primary malignancy?

Obvious history of extrahepatic primary malignancy?

Obvious history of extrahepatic primary malignancy?

Yes

Yes

Yes

Yes

No

No

No

No

End

End

End

End

Hepatocellular carcinoma

Hepatocellular carcinoma

Hepatocellular carcinoma

Hepatocellular carcinoma

Suspicion of intrahepatic cholangiocarcinoma

Suspicion of intrahepatic cholangiocarcinoma

Suspicion of intrahepatic cholangiocarcinoma

Suspicion of intrahepatic cholangiocarcinoma

Arterial phase enhancement plus venous phase enhancement on imaging

Arterial phase enhancement plus venous phase enhancement on imaging

Arterial phase enhancement plus venous phase enhancement on imaging

Arterial phase enhancement plus venous phase enhancement on imaging

Arterial phase enhancement plus venous phase "washout" on imaging

Arterial phase enhancement plus venous phase "washout" on imaging

Arterial phase enhancement plus venous phase "washout" on imaging

Arterial phase enhancement plus venous phase "washout" on imaging

Resectable?

Resectable?

Resectable?

Resectable?

Surgery

Surgery

Surgery

Surgery

Biopsy

Biopsy

Biopsy

Biopsy

Yes

Yes

Yes

Yes

No

No

No

No