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Diagnosed With Primary Sclerosing Cholangitis And Suffering From Prostate Cancer. How Serious Is It?

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Posted on Tue, 17 Dec 2013
Question: My 59-year old brother was just diagnosed with primary sclerosing cholangitis and has been told that he should see a liver specialist soon. He also had prostate cancer and had the gland removed in March but is now undergoing radiation treatments because his PSA started to rise. How serious is the PSC diagnosis and should he be taking medicine? His liver enzymes have been high. Thanks!
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Answered by Dr. Pavan Kumar Gupta (2 hours later)
Brief answer...given below Detailed answer.... Hello, Thanks for the query. Primary sclerosing cholangitis ( PSC ) is an autoimmune disorder resulting in inflammation of bile ducts inside as well as outside of liver. This persistent inflammation results in blockages of bile ducts which results in stasis of bile which ultimately results in destruction of liver cells leading to biliary cirrhosis. There is no known proven therapy for PSC and the ultimate and proven treatment is liver transplant only.this disease progresses slowly and takes time to get diagnosed. Temporary treatments involved are URSODIOL,vitamins,antibiotics for infection and anti itching medicines,but this treatment doesn't prolong the survival rate. I hope it helps,however you may revert to me for any further query. Best of luck Thanks
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Diagnosed With Primary Sclerosing Cholangitis And Suffering From Prostate Cancer. How Serious Is It?

Brief answer...given below Detailed answer.... Hello, Thanks for the query. Primary sclerosing cholangitis ( PSC ) is an autoimmune disorder resulting in inflammation of bile ducts inside as well as outside of liver. This persistent inflammation results in blockages of bile ducts which results in stasis of bile which ultimately results in destruction of liver cells leading to biliary cirrhosis. There is no known proven therapy for PSC and the ultimate and proven treatment is liver transplant only.this disease progresses slowly and takes time to get diagnosed. Temporary treatments involved are URSODIOL,vitamins,antibiotics for infection and anti itching medicines,but this treatment doesn't prolong the survival rate. I hope it helps,however you may revert to me for any further query. Best of luck Thanks