Guidelines for the diagnosis and management of intrahepatic cholangioc

Discussion Board Forums New Developments Guidelines for the diagnosis and management of intrahepatic cholangioc

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  • #81506
    dukenukem
    Member

    Iowagirl – you may be confused, but I am thoroughly depressed. I found nothing comforting at all in that article. What did I miss?

    I found this link easier to read, and to download.

    http://www.sciencedirect.com/science/article/pii/S0168827814000671

    #81505
    iowagirl
    Member

    I’m very confused. I read the paper and found that the rate of tumor regrowth after surgery for ICC was 50-60%. My oncologist at Mayo on Tuesday said a similar number of about 50%. However, I had read in more than one article that the return rate was about 30-40%. Maybe I’m obsessing over numbers….but every percentage makes a difference in my mental health outlook toward a possible cure via the surgery I went through on Feb 28th. There’s a BIG jump between the bottom end 30% and the top end of 60%. My only adverse risk is finding a 2nd small tumor during surgery. I’d rather not had any adverse risks, but multifocal disease of the Intrahepatic CC is on the table. I had a big, negative surgical margin and no hilar lymph node involvement, nor any regional or distant growth.

    #81504
    gavin
    Moderator

    Plenty of reading in that paper Marion, should take a while to get through it!

    Hugs back at you,

    Gavin

    #81503
    marions
    Moderator

    Nice posting. Thanks, Gavin.
    Hugs,
    Marion

    #9790
    gavin
    Moderator

    Thanks to Helen for the heads up on this piece.

    Guidelines for the diagnosis and management of intrahepatic cholangiocarcinoma.

    http://www.journal-of-hepatology.eu/article/S0168-8278(14)00067-1/fulltext

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