The most common symptoms caused by bile duct cancer are jaundice, pain, fever, and pruritus. In most patients, the tumor cannot be completely removed by surgery and is incurable. Many bile duct cancers are multifocal. Current management of hilar cholangiocarcinoma. Clinicopathologic studies on perineural invasion of bile duct carcinoma.
Adenocarcinomas are the most common type of extrahepatic bile duct cancers.
This has obvious prognostic importance. Localized These patients have cancer that can be completely resected. Unresectable These patients have cancer that cannot be completely removed by the surgeon. They represent the majority of patients with bile duct cancer. Often the cancer invades directly into the portal vein, the adjacent liver or along the common bile duct, and to adjacent lymph nodes.