Cholangiocarcinoma Flashcards

1
Q

What are risk factors of cholangiocarcinoma?

A

Primary sclerosing cholangitis

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2
Q

What type of cell are the majority of cholangiocarcinoma?

A

Adenocarcinoma

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3
Q

Where is the most common site

A

Perihilar region

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4
Q

What is the presentation?

A

Obstructive jaundice
Pale stools
Dark urine
Itching
Palpable gb
Hepatomegaly
RUQ pain

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5
Q

What is Courvoisiers law?

A

Palpable gallbladder along with jaundice is unlikely to be gallstones
Usually pancreatic cancer or cholangiocarcinoma

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6
Q

what tumour marker is raised

A

CA19-9

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7
Q

What are options for treatment?

A

Stent to relieve biliary obstruction
Surgery to improve sx
Palliative chemo or radiotherapy
EOL care

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