Clinical Pearl

When dealing with primary sclerosing cholangitis (PSC) we are often confronted about whether or not to screen for cholangiocarcinoma (short answer: it is not part of the AASLD guidelines).  What you should not overlook, however, is that gallbladder carcinoma screening is part of the guidelines. Perform a yearly ultrasound and refer to surgery when any GB polypoid lesion is identified.

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