Doctor insights on:
Variable: When tumors are deemed "unresectable"make sure a surgical oncologist skilled in hepatic resections made this evaluation. Unresectable differs from untreatable. Survival will depend on the tumor, its extent and coordination of different treatment modalities. A second opinion my be both informative and helpful- including options for transplantation.. ...Read moreSee 1 more doctor answer
"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more
Small to none: This is tumor at the junction of the left & right bile ducts. Symptoms (jaundice & pain) can be relieved somewhat with stents or palliative surgery to bypass the tumor. It is very difficult to cure once diagnosed. Radiation may be of some help to control symptoms. It is usually a fatal disease, but can be slow growing. ...Read more
Poor: Klatskin tumor, a hilar cholangiocarcinoma of the biliary tree occurs at the confluence of the right and left hepatic bile ducts. These tumors tend to become symptomatic late in their development and therefore are not usually resectable at the time of presentation. Complete resection of the tumor is difficult and metastasis frequently occurs soon after identification. Prognosis as such remains poor. ...Read moreSee 1 more doctor answer
Blocks bile drainage: This is a tumor at the confluence of the intrahepatic (within the liver) bile ducts. It usually presents as jaundice. A tube may be inserted internally or across the skin of the abdomen to drain bile. Radiation and chemotherapy may help. Often it is incurable. ...Read moreSee 1 more doctor answer
Surgery: A Klatskin tumor is an intrahepatic cholangiolar carcinoma occurring at the confluence of the right and left hepatic bile ducts. The initial approach is by ERCP: stents placed in the left and right bile ducts Because of location, these tumors tend to become symptomatic late in development and are not usually resectable at the time of presentation. Best survival is with resection. ...Read more
If pathology does not represent existence of a cancer , is it still possible to have klatskin tumor?
No: While a Klatskin tumor represents a lesion at the confluence of the rt and left hepatic duct system, it is relegated to a cholangioloar carcinoma and no other lesion. As such a metastasis from colon to that site could not be categorized as such a tumor which does require histologic biopsy and confirmation. ...Read more
My dad is 76, he was just diagnosed with klatskin tumor. He had several strokes in the past. His doctor concluded that he will not have surgery nor ch?
Risk vs. Benefit: Modern medicine + surgery allows us to give treatments that may not really be helping the patient. Very invasive surgery that is too tough for a patient to recover from, or won't change how long the patient lives is an example. So is chemotherapy that makes a patient very ill without changing his survival. These are tough decisions and must be made between the doctor and patient/family. ...Read moreSee 4 more doctor answers
A good oncologist ca: This is an uncommon type of cancer. Besides surgery , adjuvant chemotherapy might be useful. But you need to consult a medical oncologist to seek his/her input and raise the issue of systemic chemotherapy as this tumor has a poor prognosis, when treated with surgery alone. I believe additional therapy can provide you further benefit. Seek a second opinion from a major cancer center. ...Read more
Mom has cholangiocarcinoma liver cancer, klatskins tumor, three months ago her CEA level was 4.8 and now it's 19.8. What does this mean?
Review and discuss: Tumor boards are part of certified cancer programs all over the country. They usually have the surgeons, radiation and medical oncologists present. Also primary docs, pathologists, and other specialists are present. Nuses, palliative care teams and other support members are there. A patient ' s case is discussed from top to bottom, and a treatment plan is made with input from this team. ...Read more
No single answer: Tumors can feel soft or hard and may be painless or painful, depending on the type and location. Sometimes they are associated with changes to the overlying skin. A physician can check any skin spot or lump that is tender, itching, oozing, scaly, doesn't heal, has irregular color, swollen, is enlarging, or any other changes that worry you and make suggestions for further evaluation. ...Read more
Variable by biology.: "tumors" can be either benign or malignant. Those that are malignant have the ability to grow and spread. Malignant neoplasms/tumors often invade adjacent normal tissues and are firm with irregular borders. They sometimes invade / surround nerves and can be associated with pain. Location in the body can be important as well. Hope that this helps. ...Read more
Excision.: The most common type of "fatty tumor" is called a lipoma. These tumors are benign and are often felt / palpated underneath the skin on the trunk and arms / legs. They are generally mobile and soft. Lipomas are not malignant and do not have malignant potential. If a lipoma is concerning or cosmetically unacceptable, the standard treatment is surgical excision. ...Read more