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Suggest Treatment For Cholangiocarcinoma

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Posted on Tue, 24 Mar 2015
Question: HELLO DOC..
I AM XXXXXXX
MY FATHER IS RECENTLY DETECTED CHOLANGIOCARCINOMA STAGE 4a 4 b
doctor
Answered by Dr. Indranil Ghosh (24 minutes later)
Brief Answer:
life expectancy may be more

Detailed Answer:
Hi
Thanks for your query. I understand your concerns. I agree that it appears advanced stage. Has biopsy confirmation been done?

In this case surgery is not feasible. However other treatment options are available. We can start with chemotherapy and after few cycles can try for radiotherapy along with chemo.

Hopefully he will survive much longer than 6 months. It may not be curable.

Hope this helps. I will be available to answer further follow up queries, if any.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (10 hours later)
Dear doc... biopsy is not yet done....but is there any requirement of biopsy after this report...
How life expectancy could be increased he is having jaundice 22.4..... not ready to eat a single bite......on bed having weekness...
Any medicine could u prescribe that could be given at home paitent not ready yo move to hospital .
doctor
Answered by Dr. Indranil Ghosh (25 minutes later)
Brief Answer:
in this scenario chemo not possible

Detailed Answer:
Thanks for follow up.

Yes, this bit of information was not there in the previous query. With this current scenario chemo is not feasible. Bile drainage procedure may be done to reduce the jaundice but not much helpful in the long run.

We must give him supportive care to improve his quality of life. I am sure something can be done to help him even if we can't control the disease. If you have any palliative care physician nearby he or she can help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (10 minutes later)
Any medicine u could suggest or any institute where needs a openion and is biopsy necessery....
doctor
Answered by Dr. Indranil Ghosh (9 hours later)
Brief Answer:
sure

Detailed Answer:
Biopsy may not be necessary.

I can suggest some center but I need to know where is he located. The query originated form XXXXXXX but the scan was done in XXXXXXX
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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Suggest Treatment For Cholangiocarcinoma

Brief Answer: life expectancy may be more Detailed Answer: Hi Thanks for your query. I understand your concerns. I agree that it appears advanced stage. Has biopsy confirmation been done? In this case surgery is not feasible. However other treatment options are available. We can start with chemotherapy and after few cycles can try for radiotherapy along with chemo. Hopefully he will survive much longer than 6 months. It may not be curable. Hope this helps. I will be available to answer further follow up queries, if any.