biliary

Question 1

incidental biliar ca on cholesystectomy

Answer 1

requires lymphadenectomy/wedge unless stage I

Question 2

conditions associated with intrahepatic cholangio

Answer 2

primary sclerosing cholangitis, IBD, choledochal cysts, hepatic infections, gallstones

Question 3

adjuvant approaches following high-stage resection

Answer 3

can use nomogram to predict benefit to chemoradiotherapy

Question 4

metastatic treatment of cholangio

Answer 4

GEM 1g/m2 + low-dose cis (25mg/m2 d1,8) is new standard (improved OS). no increased g III/IV tox