Combined treatment for locally advanced cholangiocellular liver cancer - the case report
Liver resection is the standard in the treatment of patients with the local uncomplicated intrahepatic bile duct cancer. Systemic chemotherapy is prescribed in the presence of distant metastases. Difficulties in a choice of the treatment method come up when one or several factors are revealed: the t...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
QUASAR, LLC
2019-12-01
|
| Series: | Исследования и практика в медицине |
| Subjects: | |
| Online Access: | https://www.rpmj.ru/rpmj/article/view/470 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841524361170780160 |
|---|---|
| author | A. N. Polyakov Yu. I. Patyutko A. Yu. Syskova K. A. Romanova I. S. Bazin O. N. Sergeeva E. R. Virshke E. S. Makarov E. Yu. Antonova A. A. Kirshin D. V. Podluzhnyi |
| author_facet | A. N. Polyakov Yu. I. Patyutko A. Yu. Syskova K. A. Romanova I. S. Bazin O. N. Sergeeva E. R. Virshke E. S. Makarov E. Yu. Antonova A. A. Kirshin D. V. Podluzhnyi |
| author_sort | A. N. Polyakov |
| collection | DOAJ |
| description | Liver resection is the standard in the treatment of patients with the local uncomplicated intrahepatic bile duct cancer. Systemic chemotherapy is prescribed in the presence of distant metastases. Difficulties in a choice of the treatment method come up when one or several factors are revealed: the tumor spread towards the surrounding structures, multiple liver lesions, lymph nodes involvement signs. The complications presence manages treatment strategy too. The case describes the possibilities of an individual multimodal approach in a treatment strategy for the patient with locally advanced liver cholangiocarcinoma complicated by obstructive jaundice, cholangitis, cholangiogenic abscesses. The surgical approach was approved as the main one. Methods of interventional radiology, chemotherapy, radiation therapy were applied when necessary. The mentioned above treatment strategy allowed us to achieve good results in this difficult clinical case. The patient is alive for more than four years from the time of surgery, signs of progression are not currently defined. |
| format | Article |
| id | doaj-art-80b3c75fee83463282bd986e3c617a2f |
| institution | Kabale University |
| issn | 2410-1893 |
| language | Russian |
| publishDate | 2019-12-01 |
| publisher | QUASAR, LLC |
| record_format | Article |
| series | Исследования и практика в медицине |
| spelling | doaj-art-80b3c75fee83463282bd986e3c617a2f2025-02-03T07:12:14ZrusQUASAR, LLCИсследования и практика в медицине2410-18932019-12-016415816710.17709/2409-2231-2019-6-4-16301Combined treatment for locally advanced cholangiocellular liver cancer - the case reportA. N. Polyakov0Yu. I. Patyutko1A. Yu. Syskova2K. A. Romanova3I. S. Bazin4O. N. Sergeeva5E. R. Virshke6E. S. Makarov7E. Yu. Antonova8A. A. Kirshin9D. V. Podluzhnyi10N.N.Blokhin National Medical Research Center of OncologyN.N.Blokhin National Medical Research Center of OncologyN.N.Blokhin National Medical Research Center of Oncology; N.I.Pirogov Russian National Research Medical University (RNRMU)N.N.Blokhin National Medical Research Center of OncologyN.N.Blokhin National Medical Research Center of OncologyN.N.Blokhin National Medical Research Center of OncologyN.N.BLokhin National Medical Research Center of OncologyN.N.BLokhin National Medical Research Center of OncologyN.N.Blokhin National Medical Research Center of Oncology; I.M.Sechenov First Moscow State Medical University (Sechenov University)S.G.Primushko Republican clinical Oncology dispensaryN.N.Blokhin National Medical Research Center of OncologyLiver resection is the standard in the treatment of patients with the local uncomplicated intrahepatic bile duct cancer. Systemic chemotherapy is prescribed in the presence of distant metastases. Difficulties in a choice of the treatment method come up when one or several factors are revealed: the tumor spread towards the surrounding structures, multiple liver lesions, lymph nodes involvement signs. The complications presence manages treatment strategy too. The case describes the possibilities of an individual multimodal approach in a treatment strategy for the patient with locally advanced liver cholangiocarcinoma complicated by obstructive jaundice, cholangitis, cholangiogenic abscesses. The surgical approach was approved as the main one. Methods of interventional radiology, chemotherapy, radiation therapy were applied when necessary. The mentioned above treatment strategy allowed us to achieve good results in this difficult clinical case. The patient is alive for more than four years from the time of surgery, signs of progression are not currently defined.https://www.rpmj.ru/rpmj/article/view/470intrahepatic bile duct cancercombined treatmentextensive liver resectionbile ducts resectioninterventional biliodigestive anastomosispostoperative chemotherapyintraductal radiotherapy |
| spellingShingle | A. N. Polyakov Yu. I. Patyutko A. Yu. Syskova K. A. Romanova I. S. Bazin O. N. Sergeeva E. R. Virshke E. S. Makarov E. Yu. Antonova A. A. Kirshin D. V. Podluzhnyi Combined treatment for locally advanced cholangiocellular liver cancer - the case report Исследования и практика в медицине intrahepatic bile duct cancer combined treatment extensive liver resection bile ducts resection interventional biliodigestive anastomosis postoperative chemotherapy intraductal radiotherapy |
| title | Combined treatment for locally advanced cholangiocellular liver cancer - the case report |
| title_full | Combined treatment for locally advanced cholangiocellular liver cancer - the case report |
| title_fullStr | Combined treatment for locally advanced cholangiocellular liver cancer - the case report |
| title_full_unstemmed | Combined treatment for locally advanced cholangiocellular liver cancer - the case report |
| title_short | Combined treatment for locally advanced cholangiocellular liver cancer - the case report |
| title_sort | combined treatment for locally advanced cholangiocellular liver cancer the case report |
| topic | intrahepatic bile duct cancer combined treatment extensive liver resection bile ducts resection interventional biliodigestive anastomosis postoperative chemotherapy intraductal radiotherapy |
| url | https://www.rpmj.ru/rpmj/article/view/470 |
| work_keys_str_mv | AT anpolyakov combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT yuipatyutko combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT ayusyskova combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT karomanova combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT isbazin combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT onsergeeva combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT ervirshke combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT esmakarov combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT eyuantonova combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT aakirshin combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport AT dvpodluzhnyi combinedtreatmentforlocallyadvancedcholangiocellularlivercancerthecasereport |