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.