Cholangiocarcinoma organ adhesions?It turns out that these things can cause bile duct cancer

Mondo Health Updated on 2024-01-31

Zhao (pseudonym) had unbearable abdominal pain, and was treated in a hospital in Changsha, due to surgical indications, imaging examinations, and laparotomy exploration, his gallbladder wall, bile duct wall, and common bile duct were generally thickened. Has a neoplastic lesion that contains obstructive jaundice so exploratory laparotomy.

The tumor was not removed because it was adherent to the surrounding organs, and the extent was relatively large, and there was no way to remove it. Therefore, a recuperating biliary-intestinal anastomosis was performed and a drainage tube was placed. His tumor can be seen in the hilar area and biliary area are still very large, the blood vessels in and out of the hilum are compressed, there is jaundice, the local hospital can not remove it, he made a biliary-intestinal anastomosis, put a drainage tube.

Cholangiocarcinoma is a malignant tumor that originates in the extrahepatic bile ducts, from the hilar area to the lower end of the common bile duct. Common symptoms: jaundice, abdominal pain, loss of appetite, nausea and vomiting, fatigue, weight loss. (Jaundice is too high and needs to be treated with biliary stents, puncture and drainage, drugs and other methods).

That can't be helped, you still have to treat the disease, if you can't cure it locally, you can only look outside, then I heard about our hospital, I learned about it in many ways, and I saw a lot of cases and **, his son finally decided to take Zhao to the hospital where Dr. Wu was located, and let Dr. Wu give **.

According to the patient's condition, the team of doctors composed of Dr. Wu adopts a precise method. Other methods can also be selected without excision. Now that medicine is very developed, and experience, technology and equipment also provide the backing, we do not use a single method, but synthesize. Then use perfusion embolization, fine to the fine blood vessels, then the probability is very large.

Facts have proved that Zhao's condition is under control, his condition is getting better and better day by day, and the results are still relatively ideal.

Cholangiocarcinoma refers to malignant tumors that originate in the extrahepatic bile ducts, including the hilar area to the lower end of the common bile duct. In recent years, intrahepatic cholangiocarcinoma has also been classified as cholangiocarcinoma, so cholangiocarcinoma is divided into intrahepatic and extrahepatic cholangiocarcinoma according to the location.

So, how does cholangiocarcinoma occur?

The incidence of cholangiocarcinoma is unknown, but the following factors may play a role in the development of cholangiocarcinoma.

1 Bile duct stones and biliary tract infectionsAbout 1 3 of patients with bile duct cancer have bile duct stones, and 5% to 10% of patients with bile duct stones will develop bile duct cancer, which is generally believed to be caused by long-term mechanical stimulation of the bile duct wall by hepatobiliary stones, chronic biliary infection and cholestasis and other factors that lead to chronic proliferative inflammation of the bile duct wall, and then cause atypical hyperplasia of the bile duct mucosal epithelium. Pathological observations have shown that dysplasia of the bile duct mucosal epithelium can gradually migrate into adenocarcinoma.

2 Clonorchis sinensisIn Southeast Asia, biliary tract infection, cholestasis, peribile duct fibrosis and bile duct hyperplasia are among the factors leading to the development of bile duct cancer in patients infected with liver flukes due to eating raw fish. If there is an area with a habit of eating foods rich in nitrous acid, it is more likely to cause cancer.

3 Cystectasia of the bile ductsIt has been reported28% to 28% of patients are cancerous, and the formation of stones in the cyst, bacterial infection, especially pancreatic reflux due to abnormal development of the confluence, are the main causes of carcinogenesis.

4 Primary sclerosing cholangitisAn autoimmune disease. Chronic cholestatic liver disease closely associated with inflammatory bowel disease. It is characterized by diffuse inflammation, stricture, and fibrosis of the bile ducts inside and outside the liver, and progressive destruction of the bile ducts, eventually leading to cirrhosis, portal hypertension, and liver failure. Primary sclerosing cholangitis is generally considered to be a precancerous condition of cholangiocarcinoma, and most patients are found to have cholangiocarcinoma within 2 and a half years of diagnosis.

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