Long survival following combined treatment of inoperable cholangiocarcinoma: surgery, radiotherapy, and chemotherapy.

Abstract:

:A jaundiced patient due to inoperable bile duct carcinoma was treated by a combination of surgery, radiotherapy, and chemotherapy. At the operation an intra-abdominal, extra-choledochal bypass of the tumor was performed with a T-tube obstruction 10 months after diagnosis, and no evidence of malignancy was seen. The T-tube was replaced by an Argyle tube. One year later jaundice reappeared, due to displacement of the tube, and islets of metastatic tumor ce and additional cytotoxic treatment was given. Three months later, after the patient's demise due to an unrelated cause, no evidence of the disease was found. This case demonstrates the importance of palliative by-passing of the tumor in order to relieve obstruction, thus enabling further oncological treatment, which may be, as in the present case, highly effective.

journal_name

J Surg Oncol

authors

Hashmonai M,Lev L,Schramek A,Ben-Arieh Y,Robinson E

doi

10.1002/jso.2930130308

subject

Has Abstract

pub_date

1980-01-01 00:00:00

pages

231-5

issue

3

eissn

0022-4790

issn

1096-9098

journal_volume

13

pub_type

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