Volume : 6, Issue : 7, July - 2017

CHOLANGIOCARCINOMA - RETROSPECTIVE ANALYSIS FROM A TERTIARY CARE CENTRE

C. P. Ayyappan, K. Kalaichelvi, S. Suresh Kumar, G. Raja

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">Fifty patients with Cholangiocarcinoma(CCA) was retrospectively analyzed. Incidence was equal in both sexes. Median age</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">was 53 years. Most common presentation was jaundice and abdominal pain. Fourteen patients (28%) had Perihilar CCA and 36(72%) had distal CCA. Seventeen patients (34 %) were smokers and 15(30%) were alcoholics. Thirty four patients (68%) were farmers and 16(32%) were painters, weavers and carpenters. Thirty five (70%) patients had stage III and IV disease. Whipples surgery was done for 26(52%) patients, palliative triple bypass procedure was done for 15(30%) patients. ERCP was the main procedure for </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">relieving biliary obstruction. Chemotherapy was given to 27 patients (54%) and the </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt; text-align: justify;">remaining 23 (46%) received best supportive care.&nbsp;</span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><o:p></o:p></b></p>