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Doctor insights on: Extrahepatic Bile Duct Cancer

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Is biliary duct cancer a form of primary liver cancer?

Is biliary duct cancer a form of primary liver cancer?

No: Primary liver cancer is when the liver cells themselves, the hepatocytes, transform into cancer cells. Bile duct cancer is when the cells lining the bile duct transform into cancer. Primary liver cancer tends to grow large nodules in one place, and doesn't give a lot of symptoms until the tumors are large. Bile duct cancer tends to obstruct the bile ducts and create symptoms, such as jaundice. ...Read more

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Dr. Barry Rosen
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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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Will a nuclear hida scan show pancreatic stones or bile duct stones?

Will a nuclear hida scan show pancreatic stones or bile duct stones?

No: Hida scan is a functional exam to reveal if the bile duct is blocked by a stone or tumor. If blockage is suspected by the results, an MRI of the bile ducts (mrcp) is frequently the next step to visualize the blockage. ...Read more

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Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Maybe genetic: Probably should have genetic consult. Forinstance Chiari malformation, fibromuscular dysplasia, and thyroid cancer can be associated with neurofibromatosis. Lung nodules are non specific and can be from some infections but also metastatic disease sometimes from papillary thyroid cancer. You may want to consult a geneticist physician. ...Read more

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What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

Need further testing: even though you have had your gallbladder removed . you still can form stones within the common bile duct. which will cause billiary pain. Have your doctor check your liver function tests---if elevated do an ultrasound of the liver ...Read more

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CT Scan: "Liver is normal in morphology. Mild intrahepatic biliary duct dilatation. Normal common bile duct". Is this normal?

CT Scan: "Liver is normal in morphology. Mild intrahepatic biliary duct dilatation. Normal common bile duct". Is this normal?

Relatively normal: If the radiology report states normal morphology it is fairly certain there are no big worries. We do not know why the scan was ordered but mild intrahepatic biliary duct dilatation may be completely normal for this patient. The normal common bile duct finding means the liver, pancreas and gallbladder empty in to a normal duct that drains into the intestine. All good findings. Good luck. ...Read more

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Metastic liver cancer pt- bilirubin keeps rising but no blocked bile duct . What will happen ?

Metastic liver cancer pt- bilirubin keeps rising but no blocked bile duct . What will happen ?

Be strong, KanabarT: Again, please forgive my frankness. You have written perhaps a dozen times describing a variety of events that are typical of the last stages of metastatic colorectal cancer. There is no predicting the time of death, which may be weeks away, but with rising kidney function tests, thrombocytopenia, and dehydration, perhaps it is time to have a frank talk with the physician about comfort measures. ...Read more

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What causes pancreatic ductal dilation?

What causes pancreatic ductal dilation?

Pancreatic duct dila: This can happen in chronic panceatitis, or if there is a pancreatic neoplasm ( tumor) . Sometimes there are benign tumors in the duct that can eventually become malignant so it is important to check them out. Technically gallstones that are stuck at the spincter of Vater causing pancreatitis can result in pancreatic duct dilatation as can inflammation post ERCP. ...Read more

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Usg-fatty infiltration in liver.Both hepatic biliary ducts nrml, cbd nrml, no focal lesion.Mild acalculous gb wall thickening|meaning?My lft is normal.

Usg-fatty infiltration in liver.Both hepatic biliary ducts nrml, cbd nrml, no focal lesion.Mild acalculous gb wall thickening|meaning?My lft is normal.

Why was US done?: Fatty liver changes are not uncommon with the growing problem of obesity in the usa. For the most part, your us would be considered normal, and with normal lfts, i would only focus on the cause of fatty liver disease, either due to being overweight, being poorly controlled diabetic, consuming alcohol, excessive fat intake. Start with dietary changes in consultation with a dietician/nutritionist. ...Read more

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What distinguishes pancreas, liver, colon, kidney, prostate and gallbladder cancers?

What distinguishes pancreas, liver, colon, kidney, prostate and gallbladder cancers?

Cure varies: Beyond the obvious differences in organ and cell type as well as the various treatment approaches, the most important patient difference is really the chance at cure. Early stage prostate and renal cell (kidney) cancers can be very curable. Even really early stage pancreatic cancers can be quite deadly. ...Read more

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I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

I have elevated liver enzyme ast(sgot)412 ALT (sgpt) 317  GGT 186 dilation of the common bile duct 1 CM no gallbladder?

Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins. An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm. Complete history needed for this. ...Read more

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Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?

Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?

Need ERCP: You may have retained stones inside bile ducts most likely in the common duct , ERCP and and retrieval possible in most of the time , see a GI specialist ...Read more

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Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

GallBladder: "Post- most often relates to "AFTER" and cholecystectomy to the surgical procedure to remove the gallbladder. Post-cholecystectomy = their has been surgical removal of the gallbladder. This term may be used in the patient history or as part of radiology reporting. The common bile duct diameter of 7mm is normal for your age. See http://www.ncbi.nlm.nih.gov/pubmed/21144686 for publication. ...Read more

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Which one increase risk of gallbladder cancer: acalculus cholecystitis(no stone) or fistula in gallbladder and intestine? ?

Which one increase risk of gallbladder cancer: acalculus cholecystitis(no stone) or fistula in gallbladder and intestine? ?

Both conditions: By themselves probably do not increase chance of gallbladder cancer. If it does, it is still very very low. Even if you have gallstones, chances of developing gallbladder cancer is very low. Unfortunately, once you develop gallbladder cancer, chances of survival are quite low. ...Read more

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MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?

Nonspecific: I believe that the ductal findings are nonspecific. Sludge in the gall bladder can cause abdominal distress and indigestion. A gastroenterologist would sit down with the radiologist and review the images and decide whether more imaging studies like an MRI or liver biopsy are advisable depending upon your symptoms or lack of symptoms. ...Read more

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Abdominal ultrasound demonstrated mild intra and extra hepatic biliary dilatation. CBD: 1cm. MRCP demonstrated no ductal dil but pancr enlargement?

 Abdominal ultrasound demonstrated mild intra and extra hepatic biliary dilatation.  CBD: 1cm.  MRCP demonstrated no ductal dil but pancr enlargement?

Pancreatitis: Mild ductal dilatation with a 1 cm. CD is mild. That there is pancreatic enlargement suggest probable inflammation. This would impinge on the CD as it passes to ampulla of duodenum. Farthest site ie mild duct enlargement fits picture. To R.O tumor a transduodenal ultrasound of pancreatic head would show a hidden lesion. Otherwise if needed, a PET/CAT could help. ...Read more

Dr. Evan Altman
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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