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Liver Transplantation for Bile Duct Cancer
Bile duct cancer can be extremely difficult to remove surgically, and even when surgery is an option, the cancer frequently comes back.
This is a tumor we have always struggled with, says Christopher Sonnenday, M.D., M.H.S., assistant professor of surgery at the U-M Medical School. Sonnenday, a transplant surgeon, is part of the Multidisciplinary Liver Tumor Clinic at the U-M Comprehensive Cancer Center.
Historically, transplant has not been thought to be a great treatment for cancer. What we’ve learned in recent years is that if you select patients very carefully and find the right patients, those patients can potentially be helped by transplant, Sonnenday says. The procedure is best for patients with bile duct cancer that is not surgically treatable and has not spread to other organs.
Patients are first treated with combined chemotherapy and radiation and given a series of tests to prove the cancer has not spread.Because these patients don’t have chronic liver disease like a typical transplant candidate, the United Network for Organ Sharing automatically gives them extra points on the liver allocation system so that they have a fair spot on the list, relative to the urgency of their disease. Typically, a liver is available within three to six months. During surgery, doctors remove all of the liver and bile duct and perform the liver
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More News on: Alcoholic Liver Disease, Hepatitis A, Liver Transplantation, Cancer and Homeopathy, Patent Ductus Arteriosus, Cancer Facts, Cancer, Tattoos A Body Art, Liver, Wilson's Disease
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