Treatments for bile duct cancer
If you have bile duct cancer, your healthcare team will create a treatment plan just for you. It will be based on your health and specific information about the cancer. When deciding which treatments to offer for bile duct cancer, your healthcare team will consider:
- whether the tumour can be completely removed with surgery (is resectable) or cannot be completely removed (is unresectable)
- the stage of your cancer
- your overall health
In the early stages of bile duct cancer, complete removal of the tumour with surgery is the only treatment that offers a chance for a cure. But usually in an advanced stage, the cancer cannot be fully removed with surgery. Chemotherapy and chemoradiation may be given to slow down the spread of cancer and prolong life. Palliative treatment may also be used to relieve symptoms. Intrahepatic bile duct cancers are treated more like liver cancer.
ACS . Bile duct cancer (cholangiocarcinoma). American Cancer Society. Bile Duct (Cholangiocarcinoma) Cancer. Atlanta, GA: American Cancer Society; 2014.
Blechacz, B.R.A. and Gores, G.J. . Cholangiocarcinoma. Clinics in Liver Disease. 2008: http://www.liver.theclinics.com/.
Hodgin MB . Gallbladder and bile duct cancer. Yarbro, CH, Wujcki D, & Holmes Gobel B. (eds.). Cancer Nursing: Principles and Practice. 7th ed. Sudbury, MA: Jones and Bartlett; 2011: Chapter 55. pp: 1316-1333.
Lillemoe KD, Schulick RD, Kennedy AS., et al . Cancers of the biliary tree: clinical management. Kelsen, D. P., Daly, J. M., Kern, S. E., Levin, B., Tepper, J. E., & Van Cutsem, E. (eds.). Principles and Practice of Gastrointestinal Oncology. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008: Chapter 37: pp. 493-507.
National Comprehensive Cancer Network (NCCN). Hepatobiliary Cancers Version 2.2015. 2015: http://www.nccn.org/professionals/physician_gls/f_guidelines.asp.
Nickloes, T.A.. Medscape Reference: Bile duct tumors. 2015: http://emedicine.medscape.com/article/189843-overview.
Siegel, A.B., Sheynzon,V., and Samstein, B. . Uncommon Hepatobiliary tumors. Raghavan, E., Blanke, C.D., Johnson, D. H., et al. (Eds.). Textbook of Uncommon Cancer. 4th ed. Chichester, England: John Wiley & Sons; 2012: 31:441-452.