Bile duct cancer is an oncological lesion of the bile ducts, which often manifests itself with abdominal pain, high temperature and jaundice. The disease is quite common and requires immediate professional treatment according to an individual program for each patient.
The formation of a tumor in the bile ducts prevents the natural outflow of bile and provokes a number of dangerous consequences. The disease often occurs in people over 50 years old and mainly in men.
Bile tract cancer is the second most common gastrointestinal pathology. There are three forms of the disease:
Papillary - is more treatable than others.
Infiltrative – the most difficult to diagnose and treat.
Nodal is a kind of “middle” type, which gives quite good chances for successful treatment.
At the Humanitas clinic, each patient is provided with comprehensive interdisciplinary diagnostics and professional treatment. Technological equipment, modern minimally invasive surgical techniques and a number of additional treatment methods are all provided to each patient.
Main risk factors and symptoms of the disease
Statistics show that in the vast majority of cases, bile duct cancer appears on the basis of gastrointestinal diseases. Often chronic. Among the most common are nonspecific ulcerative colitis, cholangitis or choledocholithiasis. Cancer is often provoked by the Clonorchis microorganism.
The risk of developing bile duct cancer increases significantly in people who regularly come into contact with benzene, toluene and their derivatives. These substances are extremely dangerous for the body, and the consequences often manifest themselves in oncology.
The rapid progression of the disease is facilitated by poor ecology, pollution of the area in which a person lives, poor nutrition and inflammatory processes in the body. Plus, a predisposition at the genetic level in a particular patient plays an important role. The disease can be inherited by the next generations.
If the disease is not detected and treated in a timely manner, a pathological process develops, metastases appear in the liver and the prognosis for treatment becomes less positive. Therefore, it is so important to pay attention to possible symptoms:
Jaundice, which occurs due to blockage of the bile ducts.
Itchy skin, which subsequently leads to irritability, insomnia and even serious aggression.
Cholangitis is a change that occurs in the bile ducts themselves.
Painful sensations localized in the upper abdomen. Often manifested in attacks and may pass on their own. Nausea and vomiting may be observed along with the pain.
There are also other signs typical of cancer: loss of appetite, rapid weight loss and general weakness of the body. At the first signs, it is better not to postpone a visit to the doctor's office, but to undergo timely diagnostics.
Diagnosis and treatment of bile duct cancer
Usually, patients do not even suspect that they have cancer for a long time. The symptoms are very similar to the consequences of an infectious disease. Therefore, many people only consult a specialist when traditional treatment for infections does not produce results.
First, the patient's blood is taken for analysis to detect or exclude the presence of specific enzymes in its composition. Then an ultrasound examination is performed, allowing the condition of the liver, gall bladder and bile ducts to be assessed. In this way, the exact location of the neoplasm and its size can be determined. To further clarify the diagnosis, computed tomography and magnetic resonance imaging are performed.
Before starting surgical treatment, laparoscopy and percutaneous cholangiography are often performed. After this, Humanitas doctors begin the operation to remove the malignant neoplasm. The tumor tissues formed in the bile ducts are removed, as well as those tissues where metastases have already formed. Often, surgeons are forced to remove the duodenum and pancreas, which are exposed to the negative impact of the cancerous tumor. Tumor removal operations at Humanitas are mainly performed using a minimally invasive method.
Surgery is often followed by chemotherapy. Its purpose is to prevent further development of cancer cells. Radiation therapy and other methods may also be used in combination with surgery to achieve the best treatment outcome.