How to Treat Cholangiocarcinoma

By | May 5, 2012

How to treat bile duct cancer, cholangiocarcinoma that occurred in the extrahepatic bile duct (including the left hepatic duct, hepatic duct, common bile duct) cancer. Excluding intrahepatic cholangiocarcinoma, bile duct cell carcinoma of the liver, gallbladder, lack of special ampullary cancer. Cholangiocarcinoma by parts is divided into: the upper bile duct, which occurs in about hepatic duct, hepatic duct cholangiocarcinoma Department; middle bile duct cancer that occurs in the cystic duct to common bile duct below the level of the middle bile duct cancer; lower bile duct; that occurred in the bile Aunt glands Explorer section of duodenal bile duct segments.
The treatment of cholangiocarcinoma, the current surgical treatment is still the main purpose is to remove the tumor and the bile duct open. Early bile duct cancer should be carried out on the radical resection of advanced unresectable cholangiocarcinoma should be palliative tumor resection or palliative biliary drainage.
The upper bile duct in the surgical treatment: radical hilar cholangiocarcinoma include surgery, hilar cholangiocarcinoma extended radical resection of hepatic hilar cholangiocarcinoma palliative surgery. Generally believed that the upper bile duct of radical resection for liver resection is necessary, surgical resection of hilar cholangiocarcinoma according to the type and per liver metastases may be. Palliative surgery is that the tumor can not be removed and to relieve symptoms of obstructive approach taken in yellow. The liver normally jejunal Roux-Y anastomosis, hepatic internal drainage pipes and tube or ERCP by PTCD memory alloy such as biliary stenting. Surgical treatment of middle bile duct cancer: tumor confined to the tumor excision and bile duct to jejunum Roux-Y anastomosis. Surgical treatment of lower bile duct carcinoma: the film duodenectomy radiation therapy: mainly used for palliative treatment and adjuvant therapy after surgery can improve liver function, prolong survival. Chemical treatment: chemotherapy based on chemosensitivity test will achieve some results. Commonly used such as 5-Fu and ADM.
We know that gallbladder cancer is cancer occurring substance in the gallbladder, biliary system is the most common malignant tumors. Incidence rate increasing every year. Then the gallbladder can be cured? To understand this problem, we first should know the prognosis and what factors.
How to treat cholangiocarcinoma, first of all, the prognosis and tumor cell differentiation degree. Low level of well-differentiated malignant, poorly differentiated highly malignant. Secondly, the prognosis and tumor characteristics of the relevant pathology. Primary gallbladder adenocarcinoma, and morphological structure can be divided = curing cancer, papillary carcinoma, colloid carcinoma, and cancer, which hardened the most common type of cancer, the higher the degree of malignancy. Again, the prognosis and biological behavior of tumor cells and tumor progression status. Gallbladder cancer is generally based on Nevin points 5: According to the staging of gallbladder cancer, we know of gallbladder surgery is more important is the biological characteristics of tumor cells is abnormal gallbladder cancer cells growth; Therefore, early detection, early surgery is treatment of gallbladder key, because part of the gallbladder on the radiation-sensitive, so patients with early gallbladder carcinoma underwent surgical resection plus radiation therapy is to cure. At present, the gallbladder has reached more than 30% cure rate.

Leave a Reply

Your email address will not be published. Required fields are marked *