Risk Factors for Cholangiocarcinoma

Risk Factors for Cholangiocarcinoma

•Choledocholithiasis

•Clonorchis sinensis and Opisthorchis viverrini

• Cirrhosis

• Asbestos, Nitrosamines,
Dioxin (AND)

•Diabetes, Obesity, OCPs,
Smoking, Thorotrast,
Isoniazid (DOSTI)

Most common symptom is jaundice

IОС
MRI + MRCP
Rx
• Hilar cholangiocarcinoma –> CBD Resection + routine caudate lobectomy + Lymphadenectomy
• Distal cholangiocarcinoma -> Pylorus
preserving whipples procedure
• Gemcitabine + cisplatin is used for advanced cases.