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.

Source


Categories: Gastroenterology, Surgery, Internal Medicine, Oncology