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Doctor insights on: End Stage Bile Duct Cancer

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Can you tell me about bile duct cancer?

Can you tell me about bile duct cancer?

Bile ducts: Are buried in the liver, and also are outside, picking up gall bladder secretions before joining the pancreatic ducts. Biliary cancers are divided by their location, and that indicates means of treatment. They are not common, called klatskin tumors, few are resectable; most are not. Ca-19-9 may be quite hi. ...Read more

Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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What can you tell me about bile duct cancer?

What can you tell me about bile duct cancer?

Aggressive tumor: Tumor can arise intrahepatically requiring partial hepatectomy id possible. It is also found in the common duct outside the liver. The jaundice present can be relieved by a stent from ERCP. Chemo and radiation frequently employed. Within the liver distant metastasis frequently develops. Pancreatic drugs like Gemcitabine may help. ...Read more

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What are the survival rates for bile duct cancer?

What are the survival rates for bile duct cancer?

Not very good: Bile duct cancers are difficult cancers to control unless caught early when they are still localized to one area. Often they are advanced and metastatic at the time of diagnosis, then they are difficult to get rid of. Yet it all depends on the location and the stage of cancer. ...Read more

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If my sister had bile duct cancer, is it likely i'll also get it?

If my sister had bile duct cancer, is it likely i'll also get it?

Not likely: This is a very uncommon cancer and is not known to be a familial type of cancer. ...Read more

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What are the signs and symptoms of bile duct cancer?

What are the signs and symptoms of bile duct cancer?

Jaundice: Bile duct cancer is uncommon but carries a poor prognosis. It will typically impede the flow of bile from the liver to the small intestine thus causing obstructive jaundice (yellowish discoloration of eyes and skin). Pain in the upper abdomen, weight loss and nausea may be noted. ...Read more

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Does anybody know which chemo is more affective for bile duct cancer?

It will..: ...Depend on the circumstances and whether you are getting radiation as well but if I'm gonna give only chemo for biliary cancer, I usually go with Cisplatin and gemcitabine (gemzar). ...Read more

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Please explain which food can my father have if he has bile duct cancer?

Please explain which food can my father have if he has bile duct cancer?

It's up to him: If he becomes very jaundiced, he may need to restrict fat. There is no magic food that will affect his cancer for better or worse. ...Read more

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What happens if recurrent bile duct cancer has spread to the bone it is difficult to treat?

What happens if recurrent bile duct cancer has spread to the bone it is difficult to treat?

Very difficult: Bile duct cancers behave in a similar fashion to pancreatic cancer. When localized to the common duct and resected, the patient has a chance, especially post RT with gemcitabine. When the tumor spreads to bone I'm not sure that combo chemo with any of the available monoclonal can demonstrate any effect on survival. ...Read more

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Dad's dying from bile duct cancer&has reached stage where he's bed bound, not eating&has become confused. Worried he's suffering. How long can this last?

Palliative care: I would recommend you to talk to his oncologist and ask for palliative care team/hospice care- to help him. Unfortunately, from your limited information, I do not expect this will last long. To make sure that he is not suffering etc- strongly consider hospice care. ...Read more

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Help please! Is colon cancer and bile duct cancer basically the same thing?

Help please! Is colon cancer and bile duct cancer basically the same thing?

Completely different: Colon cancer originates in the colon. Bile duct cancer originates in the bile ducts either within the liver or in the parts of the bile duct system outside of the liver (common hepatic and common bile ducts). ...Read more

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Mother died from bile duct cancer. She was so healthy her whole life, never had any problems. This Cancer came out of nowhere. Causes?

Here's a link for U: To learn more about cholangiocarcinoma, consider this educational link from the American Cancer Society -- http://www. Cancer. Org/cancer/bileductcancer/detailedguide/ ...Read more

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Is bile duct cancer hereditary? My mother died from it at age 65 in 2001.Do I need any special tests? What is the cause? Any new treatments?

No screening: Bile duct cancer very rare. Appears with jaundice and with work up is either intrahepatic Klatskin tumor which can be resected or in Porta, a common duct lesion. Most cholangiolar Ca are virulent and metastasize to all sites in body. Chemo similar to that of pancreatic Ca but overall response poor. No preventative work up of value. ...Read more

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My dad has been diagnosed with bile duct cancer. He has severe swelling of legs. He has been put on diuretics. How long for this fluid to go?

My dad has been diagnosed with bile duct cancer. He has severe swelling of legs. He has been put on diuretics. How long for this fluid to go?

It depends: He will need to follow up with his doctor to decide whether he still needs to be on diuretics. You do not want to take too much diuretic as that may cause problem to his kidney. ...Read more

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I have urq pain, now bone pain on the right side and get night sweats. Can a CT scan always pick up pancreatic or bile duct cancer?

I have urq pain, now bone pain on the right side and get night sweats. Can a CT scan always pick up pancreatic or bile duct cancer?

No test is perfect!: No test is 100 percent accurate. Although a multiphase ct with contrast is a very good test for pancreatic or bile duct cancer, it is not a perfect test. Mri, mrcp and ERCP are all tests that may be useful. Generally, imaging for this problem begins with a ct, with the additional tests based on the ct results, as well as lab tests and other examinations. ...Read more

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Is radiation therapy possible for bile duct cancer?

Is radiation therapy possible for bile duct cancer?

Yes: Surgery is the first and most important treatment. Often radiation and chemo will be needed because these cancer can recur easily. ...Read more

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What kind of monoclonal antibody is used for treatment bile duct cancer?

What kind of monoclonal antibody is used for treatment bile duct cancer?

Nothing good yet: There is as of yet, no proven monoclonal antibody (moab) for this type of cancer. For some of the GI cancers, anti-egfr antibody like cetuximab (erbitux) has been modestly useful. You can ask your oncologist whether he/she will consider adding this moab to your chemotherapy regimen in case you are still on chemo or being offered chemotherapy with Cisplatin and gemcitabine. ...Read more

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Can there be a treatment for bile duct cancer if the doctor says they can't operate?

Can there be a treatment for bile duct cancer if the doctor says they can't operate?

Bile duct cancer: Yes;
1. You can play.
2. You can put a stent in to keep it open or
3. You can put a drain in so bile comes out in a bag.

But discuss with your Dr who knows you best. Good luck. If it is you you are talking about I would take care of everything you need to take care of soon. But as Yogi said its hard to make predictions. Especially about the future. ...Read more

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My sister was told her extra hypetic biliary duct was enlarged is that bile duct cancer? She has lost about 30 lbs in less than 2 mo's, has really sharp stomach pains, diarriha, no appetite, & nausea. Was admitted to the hosp & was told what test revealed

My sister was told her extra hypetic biliary duct was enlarged is that bile duct cancer? She has lost about 30 lbs in less than 2 mo's, has really sharp stomach pains, diarriha, no appetite, & nausea. Was admitted to the hosp & was told what test revealed

The: The liver makes bile, the substance that makes the stool brown. The bile comes out from the liver through bile ducts. Normally the bile goes into the gallbladder, where the bile is concentrated and stored for excretion into the intestine after eating, to assist in digestion. The bile ducts are classified as: intrahepatic (within the liver) and extrahepatic (outside the liver, i.e. From the liver to the duodenum thru the common bile duct). The common bile duct tranverses the pancreas where the pancreatic duct joins and then exits through the ampulla of vater. Therefore blockage at the ampulla, in the pancreas and in the common bile duct itself can lead to extrahepatic dilitation. The most common reason for a slightly enlarged bile duct is after the gallbladder is removed and the bile duct enlarges to accommodate the increased flow of bile. This is usually not associated with any abnormalities in the liver function tests. If there is a blockage due to a stone in the bile duct, or from a mass, such as a cancer or from scarring such as from pancreatitis, the liver function tests will be abnormal and the patient may become jaundiced, or yellow. The second most common reason for bile duct dilation is a common bile duct stone, usually associated with gallstones.

The weight loss, loss of appetite is concerning and she should have additional testing, including an ultrasound or ct scan as well as bloodwork. She should see a gastroenterologist or general surgeon. ...Read more

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Is there a connection between cancer and bile duct dilation?

Is there a connection between cancer and bile duct dilation?

Yes: Biliary duct dilatation at different levels can result from obstruction caused by cancer in the pancreas, biliary duct, liver, or regional lymph nodes. Dilatation does not cause the cancer, though, it is the opposite. See? ...Read more

Dr. Debra Rosenblatt
1 Doctor shared a insight

Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more