Extrahepatic cholangiocarcinoma with prolonged survival: a case report

J Med Case Rep. 2017 Dec 25;11(1):357. doi: 10.1186/s13256-017-1519-5.

Abstract

Background: Cholangiocarcinoma has poor prognosis and short term-survival. Here, we report the case of a patient with unusually prolonged survival.

Case presentation: Our patient was a 56-year-old Arab man with a 6-month history of obstructive jaundice. A computed tomography scan of his abdomen revealed a mass at the confluence of the hepatic ducts with suspected malignant strictures on endoscopy. A positive tissue diagnosis was achieved more than 18 months after commencement of his symptoms. He remained functional throughout this period despite recurrent episodes of cholangitis.

Conclusions: Cholangiocarcinoma is a presumably fatal disease, especially because patients tend to present late with unresectable disease. Many patient-related and disease-related factors may alter survival.

Keywords: Cholangiocarcinoma; Klatskin’s tumor; Mortality; Survival.

Publication types

  • Case Reports

MeSH terms

  • Bile Duct Neoplasms / complications
  • Bile Duct Neoplasms / diagnostic imaging*
  • Bile Duct Neoplasms / pathology
  • Bile Ducts, Extrahepatic / diagnostic imaging*
  • Bile Ducts, Extrahepatic / pathology
  • Cholangiocarcinoma / complications
  • Cholangiocarcinoma / diagnostic imaging
  • Cholangiocarcinoma / pathology
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholangitis / etiology
  • Humans
  • Jaundice, Obstructive / etiology
  • Klatskin Tumor / complications
  • Klatskin Tumor / diagnostic imaging*
  • Klatskin Tumor / pathology
  • Male
  • Middle Aged
  • Survival Rate
  • Tomography, X-Ray Computed