Cholangiocarcinoma

Cholangiocarcinoma is the most prevalent tumor of bile duct. Cholangiocarcinoma may affect the bile duct at different locations: liver hilum, intrahepatic biliary system, and lower CBD.

The most common type of cholangiocarcinoma is hilar type.

Risk factors

• Choledochal cyst

• Primary sclerosing cholangitis

• Biliary-enteric drainage procedures

• Clonorchis sinensis

• Hepatolithiasis

Symptoms

• Jaundice

• Itching

• Weight loss

• Anorexia

• Fever and abdominal pain

Diagnosis

• USG/CT/MRCP demonstrates biliary system obstruction, and a mass around the CBD

• Biopsy options include FNA, ERCP-brushings, and spyglass

Treatment

• Surgery is indicated for tumor resection

• Unresectable hilar cholangiocarcinoma undergoes treatment by chemo-radiotherapy and later liver transplantation

• ERCP and stenting is indicated for the management of advanced tumors for treating fever, jaundice and itching

Need Expert Medical Guidance for Cholangiocarcinoma?

Consult University Gold Medalist Dr. Ankita Gupta at Gastro Liver Endoscopy Centre, Greater Kailash-I, New Delhi for customized diagnostic evaluations.