Cholangiocarcinoma Flashcards
1
Q
Aetiology of cholangiocarcinoma?
A
PSC
Hepatolithiasis
2
Q
What are the three types of cholangiocarcinoma?
A
Mass forming
- epithelium lining
Peri ductal
Intraductal
- Intrahepatic
- Extrahepatic
Ampullary cancer
3
Q
What type of cancer is cholangiocarcinoma?
A
Adenocarcinoma
4
Q
Symptoms of ChC?
A
Obstructive jaundice
- Extrahepatic tumour
Pain without jaundice
- Intrahepatic tumour
Neoplastic syndromes
Pruritis from jaundice
5
Q
Investigations?
A
USS
MRCP
ERCP
- Biopsy
- > cytology
Bloods and LFTs
6
Q
Curative treatment of ChC and ampullary cancer?
A
Cholecystectomy
Ampullary
- Endoscopic excision
- Trans duodenal resection
7
Q
Palliative treatment?
A
Chemotherapy
Radiotherapy
Stenting
Bypass
