Intrahepatic Cholangiocarcinoma

被引:74
作者
Brown, Kimberly M. [1 ]
Parmar, Abhishek D. [1 ,2 ]
Geller, David A. [3 ]
机构
[1] Univ Texas Med Branch, Dept Surg, Galveston, TX 77555 USA
[2] Univ Calif San Francisco East Bay, Dept Surg, Oakland, CA 94602 USA
[3] Univ Pittsburgh, Sch Med, Liver Canc Ctr, Pittsburgh, PA 15213 USA
关键词
Intrahepatic cholangiocarcinoma; Peripheral cholangiocarcinoma; Cholangiocarcinoma; Bile duct neoplasms; Intrahepatic bile duct cancer; TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION; PORTAL-VEIN EMBOLIZATION; LIVER-TRANSPLANTATION; PERIPHERAL CHOLANGIOCARCINOMA; BILIARY-TRACT; SINGLE-INSTITUTION; PROGNOSTIC-FACTORS; CLINICOPATHOLOGICAL FEATURES; EXTENDED HEPATECTOMY; IMPROVED SURVIVAL;
D O I
10.1016/j.soc.2013.10.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Intrahepatic cholangiocarcinoma (ICC) is a rare tumor, with an increasing incidence worldwide and an overall poor prognosis. Symptoms are usually nonspecific, contributing to an advanced tumor stage at diagnosis. The staging system for ICC has recently been updated and is based on number of lesions, vascular invasion, and lymph node involvement. Complete surgical resection to negative margins remains the only potentially curable treatment for ICC. Gemcitabine-based adjuvant therapy can be offered based on limited data from patients with unresectabfe ICC. Overall 5-year survivals after resection range from 17% to 44%, with median survivals of 19 to 43 months.
引用
收藏
页码:231 / +
页数:17
相关论文
共 89 条
[1]   Extended hepatectomy in patients with hepatobiliary malignancies with and without preoperative portal vein embolization [J].
Abdalla, EK ;
Barnett, CC ;
Doherty, D ;
Curley, SA ;
Vauthey, JN .
ARCHIVES OF SURGERY, 2002, 137 (06) :675-680
[2]   Role of Major Vascular Resection in Patients with Intrahepatic Cholangiocarcinoma [J].
Ali, Shahzad M. ;
Clark, Clancy J. ;
Zaydfudim, Victor M. ;
Que, Florencia G. ;
Nagorney, David M. .
ANNALS OF SURGICAL ONCOLOGY, 2013, 20 (06) :2023-2028
[3]   Predicting poor outcome following hepatectomy: analysis of 2313 hepatectomies in the NSQIP database [J].
Aloia, Thomas A. ;
Fahy, Bridget N. ;
Fischer, Craig P. ;
Jones, Stephen L. ;
Duchini, Andrea ;
Galati, Joseph ;
Gaber, A. Osama ;
Ghobrial, R. Mark ;
Bass, Barbara L. .
HPB, 2009, 11 (06) :510-515
[4]  
ALTAEE MY, 1991, CANCER, V68, P2051, DOI 10.1002/1097-0142(19911101)68:9<2051::AID-CNCR2820680934>3.0.CO
[5]  
2-M
[6]   Genomic and Genetic Characterization of Cholangiocarcinoma Identifies Therapeutic Targets for Tyrosine Kinase Inhibitors [J].
Andersen, Jesper B. ;
Spee, Bart ;
Blechacz, Boris R. ;
Avital, Itzhak ;
Komuta, Mina ;
Barbour, Andrew ;
Conner, Elizabeth A. ;
Gillen, Matthew C. ;
Roskams, Tania ;
Roberts, Lewis R. ;
Factor, Valentina M. ;
Thorgeirsson, Snorri S. .
GASTROENTEROLOGY, 2012, 142 (04) :1021-U552
[7]   Fluorodeoxyglucose PET imaging in the evaluation of gallbladder carcinoma and cholangiocarcinoma [J].
Anderson, CD ;
Rice, MH ;
Pinson, W ;
Chapman, WC ;
Chari, RS ;
Delbeke, D .
JOURNAL OF GASTROINTESTINAL SURGERY, 2004, 8 (01) :90-97
[8]   Delayed-phase dynamic CT enhancement as a prognostic factor for mass-forming intrahepatic cholangiocarcinoma [J].
Asayama, Y ;
Yoshimitsu, K ;
Irie, H ;
Tajima, T ;
Nishie, A ;
Hirakawa, M ;
Nakayama, T ;
Kakihara, D ;
Taketomi, A ;
Aishima, S ;
Honda, H .
RADIOLOGY, 2006, 238 (01) :150-155
[9]   Outcomes analysis for 280 patients with cholangiocarcinoma treated with liver transplantation over an 18-year period [J].
Becker, Natasha S. ;
Rodriguez, Joel A. ;
Barshes, Neal R. ;
O'Mahony, Christine A. ;
Goss, John A. ;
Aloia, Thomas A. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2008, 12 (01) :117-122
[10]   Clinical diagnosis and staging of cholangiocarcinoma [J].
Blechacz, Boris ;
Komuta, Mina ;
Roskams, Tania ;
Gores, Gregory J. .
NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY, 2011, 8 (09) :512-522