Differentiating cholangiocarcinoma from other diseases

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Cancerous tumors of the bile ducts are usually slow-growing and do not spread (metastasize) quickly. However, many of these tumors are already advanced by the time they are found.

A cholangiocarcinoma may start anywhere along the bile ducts. These tumors block off the bile ducts.

They affect both men and women. Most patients are older than 65.

Diseases with similar symptoms

Differential diagnosis is different according to whether the tumour is intra or extrahepatic and depending on the growth pattern.[1] For an intrahepatic mass-forming cholangiocarcinoma consider:

  • Liver metastases
  • Central necrosis (high T2 signal) is more common
  • Hepatocellular carcinoma (HCC)
  • Tumor thrombus more common


Other health problems may also cause similar symptoms. Diseases with similar symptoms are listed in the following:

  • Liver fluke infections

References

  1. Cholangiocarcinoma. Radiopaedia. http://radiopaedia.org/articles/cholangiocarcinoma

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