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The rate of cholangiocarcinoma in caroli disease: a German multicenter study

Background - Caroli Disease (CD) and Caroli Syndrome (CS) are rare disorders presenting with dilation of the intrahepatic bile ducts. CD/CS are associated with cholangiocarcinoma (CCA). However, the true incidence of CCA is still unclear, although it may serve as an indication for surgery. In this p...

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Hauptverfasser: Fard-Aghaie, Mohammad H. (VerfasserIn) , Makridis, Georgios (VerfasserIn) , Reese, Tim (VerfasserIn) , Feyerabend, Bernd (VerfasserIn) , Wagner, Kim C. (VerfasserIn) , Schnitzbauer, Andreas (VerfasserIn) , Bechstein, Wolf O. (VerfasserIn) , Oldhafer, Felix (VerfasserIn) , Kleine, Moritz (VerfasserIn) , Klempnauer, Jürgen (VerfasserIn) , Rolinger, Jens (VerfasserIn) , Nadalin, Silvio (VerfasserIn) , Königsrainer, Alfred (VerfasserIn) , Vassos, Nikolaos (VerfasserIn) , Grützmann, Robert (VerfasserIn) , Benkö, Tamas (VerfasserIn) , Paul, Andreas (VerfasserIn) , Li, Jun (VerfasserIn) , Fischer, Lutz (VerfasserIn) , Beaumont, Katharina (VerfasserIn) , Nüssler, Natascha (VerfasserIn) , Fahrner, René (VerfasserIn) , Settmacher, Utz (VerfasserIn) , Fichtner-Feigl, Stefan (VerfasserIn) , Schöning, Wenzel (VerfasserIn) , Pratschke, Johann (VerfasserIn) , Eckhoff, Jennifer A. (VerfasserIn) , Wahba, Roger (VerfasserIn) , Bruns, Christiane (VerfasserIn) , Bernsmeier, Alexander (VerfasserIn) , Braun, Felix (VerfasserIn) , Becker, Thomas (VerfasserIn) , Lurje, Georg (VerfasserIn) , Neumann, Ulf P. (VerfasserIn) , Dohmen, Jonas (VerfasserIn) , Manekeller, Steffen (VerfasserIn) , Kalff, Jörg C. (VerfasserIn) , Mehrabi, Arianeb (VerfasserIn) , Büchler, Markus W. (VerfasserIn) , Lang, Sven A. (VerfasserIn) , Schlitt, Hans J. (VerfasserIn) , Tripke, Verena (VerfasserIn) , Lang, Hauke (VerfasserIn) , Oldhafer, Karl J. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2022
In: HPB
Year: 2022, Jahrgang: 24, Heft: 2, Pages: 267-276
ISSN:1477-2574
DOI:10.1016/j.hpb.2021.06.423
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.hpb.2021.06.423
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1365182X21006055
Volltext
Verfasserangaben:Mohammad H. Fard-Aghaie, Georgios Makridis, Tim Reese, Bernd Feyerabend, Kim C. Wagner, Andreas Schnitzbauer, Wolf O. Bechstein, Felix Oldhafer, Moritz Kleine, Jürgen Klempnauer, Jens Rolinger, Silvio Nadalin, Alfred Königsrainer, Nikolaos Vassos, Robert Grützmann, Tamas Benkö, Andreas Paul, Jun Li, Lutz Fischer, Katharina Beaumont, Natascha Nüssler, René Fahrner, Utz Settmacher, Stefan Fichtner-Feigl, Wenzel Schöning, Johann Pratschke, Jennifer A. Eckhoff, Roger Wahba, Christiane Bruns, Alexander Bernsmeier, Felix Braun, Thomas Becker, Georg Lurje, Ulf P. Neumann, Jonas Dohmen, Steffen Manekeller, Jörg C. Kalff, Arianeb Mehrabi, Markus W. Büchler, Sven A. Lang, Hans J. Schlitt, Verena Tripke, Hauke Lang, Karl J. Oldhafer

MARC

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520 |a Background - Caroli Disease (CD) and Caroli Syndrome (CS) are rare disorders presenting with dilation of the intrahepatic bile ducts. CD/CS are associated with cholangiocarcinoma (CCA). However, the true incidence of CCA is still unclear, although it may serve as an indication for surgery. In this paper, we analyzed (I) the incidence of CCA in German centers, (II) reviewed our single center population together with its clinical presentation and (III) performed a thorough literature review. - Methods - 17 large HPB-centers across Germany were contacted and their patients after surgical treatment due to CD/CS with histopathology were included. Medline search for all studies published in English or German literature was performed. Patients who underwent surgery at our department between 2012 and 2020 due to CD or CS were analyzed. - Results - In the multicenter study, 79 patients suffered from CD and 119 patients from CS, with a total number of 198 patients. In 14 patients, CCA was found (Overall: 7,1%; CD: 6,3%, CS 7,6%). Between 2012 and 2020, 1661 liver resections were performed at our department. 14 patients underwent surgery due to CD or CS. Histological examination showed synchronous cholangiocarcinoma in one patient. The literature review revealed a CCA-rate of 7,3% in large series, whereas in case reports a rate of 6,8% was found. - Conclusion - There is risk of malignant transformation and patients with CD might also benefit from resection due to improvement of symptoms. Therefore, resection is strongly advised. As certain patients with CS require transplantation, treatment should not be guided by the relatively low rate of CCA but by the concomitant diseases that come along with hepatic failure. 
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