Cholangiocarcinoma (Bile Duct Cancer) Treatment

Cholangiocarcinoma, also known as bile duct cancer, is a rare and aggressive form of cancer that develops in the bile ducts, which are responsible for carrying digestive fluid bile from the liver to the small intestine. This type of cancer can be challenging to treat, especially when it’s diagnosed at an advanced stage. However, advancements in medical science and treatment options offer hope for patients with cholangiocarcinoma.

“Doctors divide cholangiocarcinoma into different types based on where the cancer occurs in the bile ducts:

• Intrahepatic cholangiocarcinoma occurs in the parts of the bile ducts within the liver and is sometimes classified as a type of liver cancer.
• Hilar cholangiocarcinoma occurs in the bile ducts just outside of the liver. This type is also called perihilar cholangiocarcinoma.
• Distal cholangiocarcinoma occurs in the portion of the bile duct nearest the small intestine. This type is also called extrahepatic cholangiocarcinoma.

Cholangiocarcinoma is often diagnosed when it’s advanced, making successful treatment difficult to achieve.”

NYC Bile Duct Cancer Treatment

Treatment for cholangiocarcinoma depends on the stage of the cancer, the location of the tumor and the overall health of the patient. A multidisciplinary approach involving a team of specialists, including oncologists, surgeons and other healthcare professionals, is often necessary to develop a comprehensive treatment plan.

Surgery

Surgery is a common treatment option for early-stage cholangiocarcinoma. The goal of surgery is to remove the cancerous tumor and a portion of the surrounding tissue to ensure that no cancer cells are left behind. In some cases, a liver transplant may be considered as a surgical option for certain patients with bile duct cancer.

Medical Therapies

For patients with advanced cholangiocarcinoma or those who are not suitable candidates for surgery, other treatment modalities may be recommended. These may include chemotherapy, radiation therapy, targeted therapy and immunotherapy. Chemotherapy and radiation therapy may be used in combination to help shrink the tumor and relieve symptoms. Targeted therapy and immunotherapy are newer treatment approaches that aim to target specific genetic mutations in cancer cells and boost the body’s immune system to fight cancer.

Supportive Care

In addition to medical treatments, supportive care is essential for patients with cholangiocarcinoma. This may include palliative care to manage symptoms and improve quality of life, nutritional support, pain management, and psychosocial support for both patients and their families.

Cholangiocarcinoma, Gallbladder, and Bile Duct Cancers Surgery

It’s important for patients with cholangiocarcinoma to work closely with their healthcare team to understand their treatment options, potential side effects and expected outcomes. Seeking a second opinion from a specialized cancer surgeon like Dr. Dimitri Alden, with expertise in treating cholangiocarcinoma, can also provide valuable insights and help patients make informed decisions about their care.

While cholangiocarcinoma presents significant challenges, there are treatment options available to help manage the disease and improve the quality of life for patients. Contact the offices of Dmitri Alden, MD, FACS, in New York City to schedule a consultation to discuss this critical surgery and other possible treatments.