PMID- 17999125 OWN - NLM STAT- MEDLINE DCOM- 20080515 LR - 20240213 IS - 1091-255X (Print) IS - 1091-255X (Linking) VI - 12 IP - 3 DP - 2008 Mar TI - Primary sclerosing cholangitis: detection of cancer in strictures. PG - 420-2 AB - Primary sclerosing cholangitis (PSC) is a significant risk factor for developing cholangiocarcinoma. Tests currently used to screen patients with PSC include serum tumor markers, invasive biliary imaging and sampling techniques, and noninvasive biliary imaging. The most commonly used serum markers are carbohydrate antigen 19-9 (CA 19-9) and carcinoembryonic antigen (CEA). Invasive biliary imaging includes endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholangiography (PTC). In addition to standard cytology, the bile can be tested for CA 19-9 levels, as well as other novel tumor markers. In addition, the brushed cells can be analyzed for chromosomal abnormalities using digital image analysis (DIA) or fluorescence in situ hybridization (FISH). Nonivasive imaging techniques include computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and positron emission tomography (PET). FAU - Schulick, Richard D AU - Schulick RD AD - Johns Hopkins University, 1650 Orleans Street, Baltimore, MD 21231, USA. rschulick@jhmi.edu LA - eng PT - Journal Article PT - Review DEP - 20071113 PL - Netherlands TA - J Gastrointest Surg JT - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract JID - 9706084 RN - 0 (Biomarkers, Tumor) SB - IM MH - Bile Duct Neoplasms/epidemiology/*etiology MH - *Bile Ducts, Intrahepatic MH - Biomarkers, Tumor/analysis MH - Cholangiocarcinoma/epidemiology/*etiology MH - Cholangiography MH - Cholangitis, Sclerosing/*complications MH - Constriction, Pathologic MH - Humans MH - Positron-Emission Tomography MH - Tomography, X-Ray Computed RF - 11 EDAT- 2007/11/14 09:00 MHDA- 2008/05/16 09:00 CRDT- 2007/11/14 09:00 PHST- 2007/09/04 00:00 [received] PHST- 2007/09/11 00:00 [accepted] PHST- 2007/11/14 09:00 [pubmed] PHST- 2008/05/16 09:00 [medline] PHST- 2007/11/14 09:00 [entrez] AID - S1091-255X(23)08343-9 [pii] AID - 10.1007/s11605-007-0345-2 [doi] PST - ppublish SO - J Gastrointest Surg. 2008 Mar;12(3):420-2. doi: 10.1007/s11605-007-0345-2. Epub 2007 Nov 13.