J Korean Soc Radiol.  2025 Jan;86(1):45-67. 10.3348/jksr.2024.0055.

Preoperative Imaging Assessment and Staging of Perihilar Cholangiocarcinoma: Tips and Pitfalls

Affiliations
  • 1Department of Diagnostic Radiology, Division of Radiological Sciences, Singapore General Hospital, Singapore

Abstract

This article outlines the systematic radiological approach preoperative evaluation of perihilar cholangiocarcinoma (pCCA) using CT and MRI to provide key information regarding the suitability for curative surgical resection. It discusses older classification systems (BismuthCorlette, Memorial Sloan Kettering Cancer Center T staging) and follows the Korean Society of Abdomi­nal Radiology 2019 consensus recommendations for step-by-step assessment. The correlation between radiological, surgical, and pathological findings is illustrated through a pictorial review of pathologically proven cases. Benign and malignant mimics of pCCA are included to provide a comprehensive overview.

Keyword

Perihilar Cholangiocarcinoma; CT; Magnetic Resonance Imaging
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