The laboratory of bile duct cancer checks

1.The laboratory checks:The main performance is the liver function of the jaundice of Geng Zu abnormality, such as increasing of the Dan red and plain and alkaline phosphoric acid Mao Gao Deng.
The 2. Bs super check:The again and again careful B super check can show to extend of bile duct, the part of Geng Zu, even tumor.Bile duct cancer of, the super voice be like to present a lump type, Suo-like in shape, Tu the type and blood bolt a form, the bile duct cancer inside the liver often presents lump or Suo-like in shape, department cancer in the liver door is Suo-like in shape for one, lower part bile duct cancer often is Tu type, department blood in the liver door bolts a form voice to be like to be a cancer in the liver door, gall bladder cancer or transfers a cancer.Because the bile duct extends occurrence before jaundice, the B is super to have diagnosis earlier period the value of the bile duct cancer.
3. PTCs:Is the main method that diagnoses a bile duct cancer, it can show the position and scope of bile duct cancer, confirming the rate can reach to 94%~100%.
4. CTs:The CT basic performance of bile duct cancer shows for the ⑦ for the near bile duct cancer to carry bile duct to obviously extend.The bile duct wall that approaches tumor increases thick, the bile duct is clearer to be enhanced while scanning at the to build up and take care of a chamber to present shrinking of programming not Be narrow to transform.Generally can discover that the tumor of soft organization density copies, its CT is worth for the 50 Hus, the to build up was enhanced CT to be worth to 60~80 Hus while scanning.②Tumor majority follow bile duct wall gradually sex grow.The bile duct wall increases thick, the edge owes clear, the to build up canned be enhanced but easily show while scanning.The minority assume polyp-like in shape or the knot Be stanza-like in shape to grow inside the chamber to the tube, knot stanza is soft organization density.③The tumor gradually expands to the chamber and take care of a wall edge misty.Often- infringed upon gall bladder liver, adjacent afferent and lymphoid organization.But present not and all the density soft organization to copy, appearance not the rules is whole and organize structure misty, the boundary isn't pure.
5. ERCPs:Can directly observe 12 bowel nipples, building the shadow can show the Geng Zu distant bile duct.
6.The blood vessel builds a shadow:The blood vessel builds to copy Shu to a little bit well judge a bile duct cancer to be cut off.
7.The cytology checks:At PTCD extension Dou of foundation the way insert fiber Dan way mirror, can directly observe combine the pliers take a lump to live check.Can sample gall to go a cytology check while going PTC or PTCD.