Bile duct tumors

Benign tumors

  • Rare,
  • papillomas, polyps - the essence is fibromas, lipomas, granulomas; …,
  • they can become obstructive and need to be removed.

Malignant 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 - they are often diagnosed late (Klatskin's tumor).
  • Clinical image – intermittent painless obstructive icterus/jaundice with loss of appetite, weight loss.
  • Therapy:
    • papillary tumor - hemiduodenopancreatectomy;
    • tumors of the strain:
      • resection and anastomosis of the bile duct into the GIT;
      • but more often palliative - choledochoduodenoanastomoses.

References