How to treat cholangiocarcinoma?

summary

Cholangiocarcinoma is a malignant tumor originating from the extrahepatic bile duct, including the bile duct from the hilar region to the lower end of the common bile duct. Its etiology may be related to bile duct stones, primary sclerosing cholangitis and other diseases. Surgery, radiotherapy and chemotherapy can be used in clinic, but the prognosis is poor. How to treat cholangiocarcinoma? Next, I'd like to share my views with you.

How to treat cholangiocarcinoma?

First, the treatment principle of cholangiocarcinoma is: surgical resection is the main method for early cases, and postoperative radiotherapy and chemotherapy are used to consolidate and improve the effect of surgical treatment. For unresectable late cases, biliary drainage should be performed to control biliary tract infection, improve liver function, reduce complications, prolong life and improve quality of life.

Second: surgical resection is the only radical treatment for cholangiocarcinoma. Adjuvant radiotherapy can only improve the survival rate of patients. For unresectable and locally metastatic cholangiocarcinoma, after effective biliary drainage, radiotherapy can improve the symptoms and prolong the life of patients. However, cholangiocarcinoma has always been considered as a radiosensitive tumor. The median survival time of radiotherapy is 9-12 months.

Third, cholangiocarcinoma is not sensitive to chemotherapy. Cholangiocarcinoma is less sensitive to chemotherapy than other gastrointestinal tumors such as colon cancer. However, chemotherapy may alleviate the symptoms caused by cholangiocarcinoma, improve the quality of life of patients, and may also prolong the survival period.

matters needing attention

1. Keep a happy mental state, develop good eating habits, fast spicy food, eat less thick greasy food, do not drink alcohol. 2. For people over 40 years old, especially women, regular B-ultrasound examination should be carried out. If cholecystitis, gallstones or polyps are found, follow-up examination should be carried out. If the condition changes, treatment should be carried out as soon as possible. 3. Before active treatment of cancerous lesions, sooner or later, the possible causes of canceration will be eliminated.