期刊
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY
卷 29, 期 2, 页码 221-232出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.bpg.2015.02.003
关键词
Cholangiocarcinoma; Epidemiology; Risk factors; Primary sclerosing cholangitis; Biliary cytology
资金
- Swedish Cancer Society
- Bengt Ihre fund
- LMK Foundation
Cholangiocarcinoma (CCA) is a cancer arising from the intra- or extrahepatic bile ducts and mainly characterized by its late diagnosis and fatal outcome. CCA is the second most common primary liver tumour and accounts for approximately 10-15% of all hepatobiliary malignancies. The development of CCA is linked to a wide spectrum of conditions causing biliary inflammation, cholestasis and inflammation of the liver. The geographic diversity of risk factors is reflected in considerable differences in incidence worldwide. Although. data are not consistent, incidence seems to be rising in the Western World. Given the limited opportunities of treating advanced CCA, surveillance has been suggested as a strategy for detection of early disease in the high-risk group of patients with primary sclerosing cholangitis (PSC). In this review we present an updated overview of the epidemiology of CCA. We also highlight the risk of CCA in PSC with special focus on surveillance strategies. (C) 2015 Elsevier Ltd. All rights reserved.
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