Yellow eyes, white stools, yellow urine, and dilated bile duct. Is this bile duct cancer? How should it be treated? Common symptoms of cholangiocarcinoma include yellowing of the skin and mucous membranes, white stools, yellow urine, no pain and gradual worsening. CT or MRI can reveal a bile duct mass with dilatation of the upper bile duct. When it comes to the treatment of bile duct cancer, it actually has a lot to do with its location. At present, we divide bile duct cancer into hilar cholangiocarcinoma and common bile duct cancer. Hilar cholangiocarcinoma is located at the entrance of the liver, surrounded by the portal vein and hepatic artery. Cancer can easily invade the surrounding blood vessels and nervous system. According to the relationship between the tumor and the left and right hepatic ducts and the common hepatic duct, local resection, bile duct jejunostomy or additional hemihepatectomy, perihilar partial liver resection, and bile duct jejunostomy are used. If the common bile duct cancer is located in the upper part, it can be locally resected. If it is located at the end of the bile duct, pancreaticoduodenectomy should be performed. If the patient is in poor general condition and cannot tolerate surgery, a drainage tube can be placed in the bile duct by puncture or a stent can be placed through ERCP to expand the narrow segment of the bile duct, relieve jaundice, and improve symptoms. Comprehensive treatment with liver-protecting drugs, chemotherapy, radiotherapy and other drugs. Cholangiocarcinoma is a relatively good prognosis cancer, better than common jaundice diseases such as pancreatic cancer. The body allows active treatment. |
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