Journal of Medical Case Reports (Mar 2008)

Distinguishing post-treatment changes from recurrent disease in cholangiocarcinoma: a case report

  • Showalter Timothy N,
  • Nawaz A Omer,
  • Fellin Frederick M,
  • Anne Pramila R,
  • Rosato Ernest L,
  • Dicker Adam P

DOI
https://doi.org/10.1186/1752-1947-2-76
Journal volume & issue
Vol. 2, no. 1
p. 76

Abstract

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Abstract Introduction Three-dimensional techniques for radiotherapy have expanded possibilities for partial volume liver radiotherapy. Characteristic, transient radiographic changes can occur in the absence of clinical radiation-induced liver disease after hepatic radiotherapy and must be distinguished from local recurrence. Case presentation In this report, we describe computed tomography changes after chemoradiotherapy for cholangiocarcinoma as an example of collaboration to determine the clinical significance of the radiographic finding. Conclusion Because of improved three-dimensional, conformal radiotherapy techniques, consultation across disciplines may be necessary to interpret post-treatment imaging findings.