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Cholangiocarcinoma in a patient with severe cardiovascular pathology. Clinical case. Difficulties in diagnosis

https://doi.org/10.24884/1609-2201-2024-103-4-65-69

Abstract

The relevance of this topic is due to the rare occurrence of cholangiocarcinoma in clinical practice, which influences the difficulties in diagnosis. An important fact is also the low awareness of doctors about Klatskin’s tumor. A clinical case of portal cholangiocarcinoma in a 69-year-old man is presented, and the difficulties of diagnosis due to the lack of specific complaints are considered. The features of laboratory and instrumental research methods are reflected.

About the Authors

M. K. Zinakova
Pavlov University
Russian Federation

Mariya K. Zinakova - Cand. of Sci. (Med.), assistant of the Department of Hospitaly Therapy.

6‒8, L’va Tolstogo str., Saint Petersburg, 197022



E. A. Bruchkus
Pavlov University
Russian Federation

Elena A. Bruchkus - physician of the highest category, Head of the Cardiology Department No. 2 of the Research Institute of Rheumatology and Allergology.

Saint Petersburg



A. S. Bondarenko
Pavlov University
Russian Federation

Alena S. Bondarenko - resident of the Department of Family Medicine.

Saint Petersburg



A. A. Aleksishinets
Pavlov University
Russian Federation

Alena A, Aleksishinets, resident of the Department of Family Medicine.

Saint Petersburg



References

1. Clinical recommendations “Cancer of the biliary system” (app. Ministry of Health of the Russian Federation). Moscow, 2020. URL: https://oncology-association.ru/wp-content/uploads/2020/09/biliarnyj_rak. pdf (accessed: 10.12.24). (In Russ.).

2. Breder V. V., Bazin I. S., Kosyrev V. U., Ledin E. V. Practical recommendations for the drug treatment of biliary cancer. Russian Society of Clinical Oncology. Malignant tumors. 2020;10 (3):475–491. https://doi.org/10.18027/2224-5057-2020-10-3s2-26. (In Russ.).

3. DedovA. V., Mustafin R. D., Poluhina E.A. On the difficulties of diagnosis and complications of Klatskin’s tumor. Astrakhan Medical Journal. 2023;18(2):110–119. https://doi.org/10.29039/1992-6499-2023-1-110-119. (In Russ.).

4. The state of oncological care for the population of Russia in 2022 -P. Hertsen Moscow Oncology Research Institute (MORI) – the branch of the FSBI “National Medical Research Radiological Centre” (NMRRC) of the Ministry of Health of the Russian Federation / eds by A. D. Kaprin, V. V. Starinsky, A. O. Shakhzadova. 2022, 239 p. (In Russ.).


Review

For citations:


Zinakova M.K., Bruchkus E.A., Bondarenko A.S., Aleksishinets A.A. Cholangiocarcinoma in a patient with severe cardiovascular pathology. Clinical case. Difficulties in diagnosis. New St. Petersburg Medical Records. 2024;(4):65-69. (In Russ.) https://doi.org/10.24884/1609-2201-2024-103-4-65-69

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ISSN 1609-2201 (Print)