Tumors of the bile ducts

Benign tumors

 * Rare,
 * papillomas, polyps - the essence is fibromas, lipomas, granulomas; …,
 * they may present as an obstruction and must be removed.

Malign tumors

 * It is most often a medullary carcinoma.
 * They infiltrate the bile duct or are in the papilla (it is difficult to decide whether they come from the bile duct, duodenum or pancreatic duct).
 * Unfortunately, it is worse in the upper parts - there they are often diagnosed late (Klatskin's tumor).
 * Clinical picture - intermittent painless obstructive jaundice with loss of appetite, weight loss.
 * Therapy:
 * papilla tumor - hemiduodenopancreatectomy;
 * trunk tumors:
 * resection and anastomosis of the bile duct to the GIT;
 * but more often palliative – choledochoduodenoanastomosis.

Related articles

 * Cancer of the gallbladder
 * Pancreatic cancer
 * Liver tumors

Source
Categories: Gastroenterology, Surgery, Internal Medicine, Oncology
 * BENEŠ, Jiří. Studijní materiály [online]. [cit. 5.5.2010]. < http://jirben.wz.cz >.