This presentation provides comprehensive information. It answers many of the questions posed by newly diagnosed hilar (perihilar) CCA patients.
http://cholangiocarcinoma.org/what-patients-need-to-know-about-hilar-cholangiocarcinoma-and-liver-transplant/
Key points: Hilar (perihilar) Cholangiocarcinoma
Resection is standard of care – surgical removal of tumor
Resection is not possible if disease presentation shows:
Involvement of ducts on both sides of liver
Encasement of main portal vein (relative)
Involving ducts on one side and blood vessels on the other side
Atrophy of one side of liver with involvement of either ducts or vessels on other side
IF STANDARD OF CARE (SURGICAL REMOVAL OF TUMOR) CANNOT BE ACHIEVED
ONLY THEN ARE PATIENTS CONSIDERED FOR THE LIVER TRANSPLANT PROTOCOL