ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand)

Muthusamy_CASE Session 3

Pdf Summary

In a session led by V. Raman Muthusamy MD, the following cases were discussed:<br /><br />Case 1: A 71-year-old woman with breast cancer metastatic to bone presented with epigastric pain and elevated liver tests. Imaging showed a stricture in the bile duct, and previous diagnostic procedures were inconclusive. Repeat ERCP revealed a smooth stricture, and cholangioscopy with expanded capacity forceps obtained biopsies that confirmed metastatic breast cancer.<br /><br />Take Home Points: This case highlights the rare occurrence of breast cancer metastasis to the biliary tree and the importance of improved cholangioscopic tools in managing indeterminate strictures. Deeper tissue sampling and immunostaining allowed for accurate diagnosis and appropriate treatment with chemotherapy.<br /><br />Case 2: A video was shown of a case involving cholangiocarcinoma stenting and biliary radiofrequency ablation (RFA), performed by Ali Sedarat MD. No further details were provided.<br /><br />Overall, these cases demonstrate the complexities and challenges of diagnosing and treating biliary diseases, as well as the advancements in endoscopic techniques to improve patient outcomes.

Keywords

V. Raman Muthusamy MD

breast cancer metastasis

bone metastasis

epigastric pain

elevated liver tests

bile duct stricture

cholangioscopy

metastatic breast cancer

cholangiocarcinoma stenting

endoscopic techniques