Update on cholangiocarcinoma: potential impact of genomic studies on clinical management.

Abstract:

:The term cholangiocarcinoma (CCA) comprises neoplasms of the intrahepatic, perihilar, and distal bile duct. Five-year survival rates of patients with CCA are below 20 %, and no targeted therapy could prove a benefit in comparison to the standard treatment of cisplatinum and gemcitabine. In recent years, next generation sequencing studies revealed a profound genomic heterogeneity of CCA subtypes potentially affecting the design of future therapy trials. This review provides a concise update on current clinical management of CCA including data of recent genomic studies and differences between CCA subtypes. :Die Entität Cholangiokarzinom (CCA) beinhaltet Neoplasien aus dem intrahepatischen, perihilären und distalen Gallengang. Weniger als 20 % der Patienten mit einem CCA überleben länger als 5 Jahre und bislang konnte keine zielgerichtete Therapie einen Überlebensvorteil gegenüber dem Standard aus Cisplatin und Gemcitabine zeigen. In den letzten Jahren haben Next-Generation-Sequencing Daten beim CCA und seinen Subtypen eine ausgeprägte genetische Heterogenität offenbart, welche die Planung zukünftiger Therapiestudien beeinflussen könnte. Diese Arbeit soll einen kompakten Überblick zur aktuellen Diagnostik und Therapie des CCA geben und in diesem Rahmen auch auf Daten aus Sequenzierungsstudien sowie auf die Unterschiede der CCA-Subtypen eingehen.

journal_name

Z Gastroenterol

authors

Walter D,Hartmann S,Waidmann O

doi

10.1055/s-0043-102581

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

575-581

issue

6

eissn

0044-2771

issn

1439-7803

journal_volume

55

pub_type

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