An overview of the treatment options for bile duct cancer, including surgery and chemotherapy. This article is part of PDQ cancer information summaries published by the National Cancer Institute (NCI).

Surgery is a common way to treat bile duct cancer. It may be used to remove a tumor or to help relieve symptoms caused by cancer. It is always best to follow your doctor's prescription & then use Fildena 100  as directed by him.

Surgery

The treatment options for bile duct cancer vary depending on how far the tumor has spread. If the tumor has not spread to any other part of your body, surgery will usually be able to remove it.

A liver transplant may be needed if cancer has spread to other parts of your body. Sometimes, a living donor (often a close relative) will donate a liver to be transplanted into your body. This can be successful, but it carries risks to the donor.

Other times, chemotherapy will be used to treat the disease. It is taken by mouth or injected into a vein or muscle, and it can reach cancer cells all over the body. It is often given in a series of treatments, and it will be followed by radiation therapy to help destroy any remaining cancer cells.

In some situations, radiation oncologists may use intra-arterial embolization to treat unresectable or metastatic bile duct cancer. Anticancer drugs are attached to beads injected into an artery near the tumor during this procedure. This allows a higher drug dose to reach the tumor for a longer period, which may kill more cancer cells.

Chemotherapy is sometimes used to treat recurrent or relapsed bile duct cancer that has spread. It can be combined with radiation therapy to reduce the chances of recurrence or improve symptoms and quality of life as part of palliative care.

There are many different types of surgery. Major surgery involves opening up a large area of your body, often performed by a team of doctors. One doctor usually does minor surgery and does not involve opening up your major organs.

You should ask questions and understand your options before deciding on any medical procedure. It would help if you also talked with your healthcare team about the risks and benefits of each option.

If your doctor recommends surgery, you should ensure you have all the information you need before going under the knife. This can be stressful, and it is important to have as much information as possible before making a decision.

Chemotherapy

Chemotherapy is a common and effective treatment for bile duct cancer. It kills the cancer cells, which helps keep them from growing. It can also help control symptoms such as jaundice and pain in many cases.

In some cases, chemotherapy is given in combination with radiation therapy. The two treatments are sometimes used together to slow the growth of bile duct cancer and improve survival.

Typically, you will get several sessions of chemotherapy over a few months. Your doctor will decide which drug is best for you.

The treatment aims to kill as many cancer cells as possible while causing as little harm as possible to your body. Some side effects of chemotherapy include nausea and vomiting.

If you are having chemotherapy, your doctor may prescribe antiemetic (anti-nausea) medications to help prevent these side effects from worsening. These medications can be taken by mouth or injected into your veins.

Your doctor may also recommend other medicines to reduce the side effects of chemotherapy, such as antacids and pain relievers. These medicines can help relieve your stomach pain and other symptoms of bile duct cancer.

A doctor may order tests to determine your type of bile duct cancer and whether it has spread (metastasized) to other parts of your body. Some tests include a blood test, imaging test, biopsy, and an ultrasound exam.

Some people with bile duct cancer may need surgery to remove all or part of the bile ducts. This surgery will usually be done if cancer has not spread and is not too far advanced.

Depending on the type of bile duct cancer, you might also have chemotherapy and radiation therapy. These treatments can be combined with surgery to treat a recurrent form of the disease or to improve your quality of life.

If you have a high risk of recurrent bile duct cancer, your doctor may recommend surgery to remove all or part of your bile ducts. If this is impossible, your doctor may suggest palliative therapy to relieve your symptoms and reduce your pain.

Radiation

There are several treatment options for bile duct cancer, and they are all designed to treat cancer while minimizing side effects. Some of these options include surgery and chemotherapy. Other treatment options include radiation, which is used to shrink tumors before surgery or prevent them from growing in the future.

Radiation therapy can help kill bile duct cancer cells and shrink the tumors to relieve symptoms. It can be given by mouth or through an IV.

In some cases, doctors use stereotactic body radiation therapy (SBRT). This gives radiotherapy from many different positions around the body. The surrounding tissues only get a low dose of radiation to reduce the risk of side effects.

Some cancer centers may also use radioembolization to treat bile duct cancer. This method uses radioactive beads to deliver radiation to the tumor.

The radiation beams are guided by an X-ray or CT scan of the area where the cancer is located. This allows the doctor to ensure the radiation is directed exactly where it needs to be while minimizing the damage to the gastrointestinal tract and nearby healthy organs.

Another radiation option is photodynamic therapy (PDT). PDT is a new, promising method for treating inoperable bile duct cancers. The medication used in PDT collects in the cancer cells, and then a light is activated to kill them.

A team of medical experts, including doctors and nurses, work together to create your treatment plan. They use a variety of tests to diagnose the type and stage of your bile duct cancer, as well as to evaluate how far it has spread.

They will also examine your bile ducts and liver to look for blockages or tumors. They will also take a sample of your bile to test for the presence of cancer cells.

Your doctor will also tell you what to expect during and after these treatments. They will let you know how to manage any side effects and what you can do to prepare for them.

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Photodynamic therapy

Photodynamic therapy (PDT) is a new type of treatment for bile duct cancer that is less damaging than surgery. PDT uses a drug that makes your cells sensitive to light. Then, doctors shine a special light on the cancer cells and kill them. It may be used to treat recurrent or advanced bile duct cancer.

A PDT treatment usually includes a combination of chemotherapy and radiation therapy. It can also have surgery to remove the tumors and a stenting procedure to keep them from growing back. The treatment will not eliminate cancer, but it can help control symptoms.

Doctors will use tests to diagnose your bile duct cancer and decide how best to treat it. These tests include physical exams and blood work to look for signs of disease. They can also find out if your liver is functioning normally.

Imaging tests can also help doctors see your internal organs and determine if you have a bile duct tumor. These tests may include ultrasound, CT scans, and MRI combined with magnetic resonance cholangiopancreatography (MRCP).

Your doctor will also check your bile ducts for any sign of cancer by doing a special ERCP test. This involves using an endoscope (a long, flexible tube) to look inside your intestines and bile ducts. During this procedure, your doctor may take a sample of the tissue.

Then your doctor will use a special light on an endoscope to shine on the tumor. This causes a chemical change in the drug, activating it to destroy the cancer cells where the light is directed. This procedure is sometimes done with a stent, a thin metal tube placed in your bile duct to keep it open.

Researchers are studying whether PDT can reduce the chance of a stent becoming blocked. It also causes less pain than surgery.

Most people with bile duct cancer cannot remove their cancer completely with surgery, so doctors are looking for ways to treat these patients. This can include a trial that tests if PDT can kill recurrent or advanced bile-suckling cancers.