1 (edited by PCL1029 Sat, 05 May 2012 09:45:24)

Topic: GoddArticle on Understand Making Surgical Decision on Extrahepatic CCA

Hi,everyone,

Eli found this article,which may help patients who have extrahepetic cholangiocarcinoma on their surgery decision making process through understanding how the doctors makes their decision on what and how to operated on ECCA.
the link is below.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3095469/

also this link too.  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2504384/

thanks Eli,

God bless.

Please know that my personal opinion is not intended nor implied to be a substitute for professional medical advice. If  provided, information are for educational purposes.Consult doctor is a MUST for changing of treatment plans.

Re: GoddArticle on Understand Making Surgical Decision on Extrahepatic CCA

Hi Percy,

Thanks for posting these links and my thanks also to Eli for them too. I'll repost them as well over on the FB page so that those over there can have a read of them both too. Thanks again to you both.

Best wishes,

Gavin

Any advice or comments I give are based on personal experiences and knowledge and are my opinions only, they are not to be substituted for professional medical advice. Please seek professional advice from a qualified doctor or medical professional.

3 (edited by eli Sat, 05 May 2012 16:28:49)

Re: GoddArticle on Understand Making Surgical Decision on Extrahepatic CCA

Percy, thanks for doing the housekeeping!

A word of caution about the second link:

Is preoperative histological diagnosis necessary for cholangiocarcinoma?
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2504384/

The article was published in 2008. The authors reviewed the literature up to July 2007. They reached the conclusion that positive biopsy is not required to diagnose extrahepatic CC. That was before the emergence of SpyGlass exam. I'm not sure if SpyGlass biopsy is accurate enough to change the conclusion reached in the article.

Here's another good article closely related to the other two.

Endoscopic diagnosis of extrahepatic bile duct carcinoma: Advances and current limitations
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3100496/

EDIT:

Here's another article that looks at the issue of biopsy before surgery. The section on extrahepatic CC reviews several benign strictures that may look very similar to ECC.

Is preoperative histological diagnosis necessary before referral to major surgery for cholangiocarcinoma?
www.ncbi.nlm.nih.gov/pmc/articles/PMC2504385

Note: "histological diagnosis" refers to positive biopsy that firmly confirms CC.