Is surgery possible in my case?

Discussion Board › Forums › Surgery, Resection & Transplant Treatment Options › Is surgery possible in my case?

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  • May 27, 2009 at 9:37 pm #28910
    lisa
    Spectator

    I would ask why, specifically, the tumor is unresectable.

    But Rosy, you just never know. I was told my tumor was resectable, but when they opened me up they found that the tumor was wrapped around the IVC and they just closed me back up. The aborted surgery left about an 18″ scar on my abdomen.

    It’s a huge surgery to go through – and can be a long recovery in an older person – so they might not want to risk it if they are not sure.

    Best wishes,
    Lisa

    May 27, 2009 at 6:46 pm #28909
    rosy
    Member

    Marions, no other treatment options have been offered yet. The oncologist says its unresectable, and he is also not keen not chemotherapy saying that it doesnt work and that it would make his body further weak.

    May 19, 2009 at 6:39 am #28908
    marions
    Moderator

    Rosy…..have any other treatment options been offered?
    Thinking of you
    Marion

    May 19, 2009 at 4:58 am #28907
    rosy
    Member

    No doctor has agreed to surgery yet. All doctors I met have concluded that my father’s CC is unresectable.

    May 18, 2009 at 7:56 am #2324
    rosy
    Member

    Diagnosis
    Cholangiocarcinoma – PTBD and 2 SEMS placed.
    Status post Cholecystectomy
    History:
    My father had obstructive jaundice. He had undergone cholecystectomy in recent past. On evaluation he had hilar stricture with cholangitis. ERCP and biliary drainage was attempted but in view of narrowed duodenal lumen, scope could not be negotiated till ampula and hence PTBD was done and after initial external drainage, 2 SEMS were placed in the right and left duct. He had ascites and right pleural effusion which were drained. Brush cytology showed high grade dysplasia. His bile culture grew Pseudomonas which were sensitive to Cilastin and Imipenem which he recieved for 10 days.

    Is surgery possible in this case?

    Investigations Done:

    USG Abdomen (24.04.09)
    Status post cholecystectomy
    Small ill defined hypoechoic mass lesion in the porta hepatic involving the CBD. Mild IHBD in both lobes of liver.
    Portal vein thrombosed. Minimal scites.
    BPH

    MRI – MRCP (24.04.09)
    Common hepatic duct, confluence and proximal hepatic ducts stricturous lesions with upstream dilation – ? Neoplastic

    Triphase/Dual Phase CT (25.04.09)
    1. Post cholecystectomy status.
    2. Poorly enhancing ill defined lesion at hilum with Type IV biliary structure and long segment portal vein thrombosis.
    3. Minimal Ascites. No lymphadenopathy.
    D/D – ? Chlongiocarcinoma
    ? Carcinoma Gall Bladder.

    Cytology (Ascitic fluid) (29.04.09)
    Inflammatory effusion. Negative for malignancy.

    Cytology (Balloon) (01.05.09)
    Sparsely cellular smear with high grade dysplasia.
    Suggested ERCP and radiological correlation.

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