Surgery · Hepatobiliary Surgery (Liver Tumors, Gall Bladder, Bile Duct, Pancreas)

Klatskin tumour refers to cholangiocarcinoma arising at the:

  • A Ampulla of Vater
  • B Confluence of right and left hepatic ducts (hilar)
  • C Intrahepatic bile ducts
  • D Distal common bile duct
Correct answer: B. Confluence of right and left hepatic ducts (hilar)

Explanation

Klatskin tumour is a hilar cholangiocarcinoma arising at the bifurcation of the right and left hepatic ducts, classified by the Bismuth-Corlette system. It presents with progressive obstructive jaundice, often without a visible mass on initial imaging. Hilar cholangiocarcinomas are the most common (60-70%) of all cholangiocarcinomas. Ampullary carcinoma arises at the ampulla of Vater and carries a better prognosis.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

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