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Cholangiocarcinoma

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Cholangiocarcinoma is a carcinoma arising from the small ducts or ductules, though carcinoma may occur in major hepatic ducts outside the liver substance.


Causes-

1. Cirrhosis.

2. Haemochromatosis.

3. Chronic cholestasis.

4. Congenital cystic disease of liver.

5. Infestation of Clonorchis Sinesis.


Symptoms-

1. Women are more often affected.

2. Abdominal pain.

3. Fever.

4. Jaundice.

5. Slight hepatomegaly.


Treatment-

1. Surgical excision is the treatment of choice.

2. If the tumor is unresectable a bypass by an intubation procedure is done.

3. In poor risk patients with unresectable tumor, percutaneous biliary drainage is done.

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