Bile duct tumor
Introduction
Introduction to biliary tumor Gallbladder cancer occurs mostly in middle-aged and older women over the age of 50. There are fewer males and the ratio of female to male is about 34:1. The main clinical manifestations are: a history of chronic cholecystitis, a sudden deterioration of the disease after the onset of cancer, persistent pain in the right upper quadrant, loss of appetite, nausea or vomiting, jaundice may occur in the advanced stage, and progressive deepening, accompanied by fever, Ascites and other symptoms. Most cancers originate in the head of the pancreas, and the common bile duct passes through it, followed by the bile duct itself, the gallbladder or the intrahepatic bile duct, which is located at the junction of the common bile duct and pancreatic duct. Quite a rare case, the tumor that is transferred from other parts of the body causes obstruction, or is caused by lymph node swelling caused by lymphosarcoma, and benign tumors of the bile duct can also cause obstruction. Symptoms of biliary tumors include jaundice, abdominal discomfort, loss of appetite, weight loss, and itching. There is generally no fever or chills, and the symptoms gradually worsen. basic knowledge The proportion of illness: 0.0005% Susceptible people: no special people Mode of infection: non-infectious Complications: jaundice
Cause
Bile duct tumor etiology
Most cancers originate in the head of the pancreas, and the common bile duct passes through it, followed by the bile duct itself, the gallbladder or the intrahepatic bile duct, which is located at the junction of the common bile duct and pancreatic duct. Quite a rare case, the tumor that is transferred from other parts of the body causes obstruction, or is caused by lymph node swelling caused by lymphosarcoma, and benign tumors of the bile duct can also cause obstruction.
Prevention
Cholangiocarcinoma prevention
1, prevent cholangiocarcinoma to maintain a happy psychological state, develop good eating habits, fasting spicy, eat less thick and greasy food, do not drink hard alcohol. Before preventing cholangiocarcinoma from actively treating cancerous lesions, it is possible to cause the cause of cancerous changes in the early and late stages.
2, for people over the age of 40, especially women, regular B-ultrasound examination, found cholecystitis, gallstones or polyps, etc., should be followed up and found that changes in the condition should be treated early.
Complication
Biliary tumor complications Complications
Postoperative complications
(1) postoperative coagulopathy and hemorrhage: more related to surgical reasons, coagulopathy, especially in patients with biliary tumors with severe cirrhosis, portal hypertension. The patient's complexion, consciousness, vital signs and abdominal drainage should be closely observed, and the amount, color and nature of the drainage fluid should be recorded to maintain effective venous access.
(2) biliary fistula and biliary anastomosis: a common and serious complication of postoperative cholangiocarcinoma. The patient presented with localized or diffuse peritonitis and was associated with improper surgical management or removal of the support tube or T tube. Care should be taken to properly protect all kinds of drainage tubes and keep the circulation smooth. For those who are frail, malnourished, have diabetes and must use hormones, the extubation time should be extended appropriately. After the occurrence of biliary fistula, the original drainage should be kept smooth, the antibacterial liquid in the abdominal cavity should be washed, and the semi-recumbent position should be taken to reduce the abdominal cavity pollution; closely observe whether the patient's abdominal pain is aggravated, whether the range is enlarged, whether there is an increase in body temperature, etc., and the surgery is performed again. ready.
Symptom
Biliary tumor symptoms Common symptoms Loss of appetite Ascites Abdominal discomfort Abdominal pain Weight loss Astragalus
Symptoms of biliary tumors include jaundice, abdominal discomfort, loss of appetite, weight loss, and itching. There is generally no fever or chills, and the symptoms gradually worsen.
Examine
Bile duct tumor examination
The early symptoms of cholangiocarcinoma are not obvious. Ultrasound examination can reveal the expansion of the bile duct inside and outside the liver, and a few places where the mass is found. Further examination including ERCP or PTC direct cholangiography, can show the growth site of biliary tumors, but can not be determined as benign and malignant lesions, the final diagnosis is still dependent on ERCP biopsy or postoperative pathological examination.
Diagnosis
Diagnosis and diagnosis of biliary tumor
Diagnosis of cholangiocarcinoma by cancer can be determined by ultrasound, CT or direct cholangiography (injection of contrast media). A biopsy is required for a definitive diagnosis.
