A Case Report on the Palliative Role of Intraluminal Brachytherapy (IIBT) in Advanced Hilar Cholangiocarcinoma
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2023, Vol 3, Issue 5
Abstract
Cholangiocarcinoma (CCA) is the primary malignant tumor of bile ducts which originates from the cholangiocytes. It accounts for 10-15% of all Hepato-biliary malignancies. Hilar Cholangiocarcinoma (Klatskin tumor) is a type of extrahepatic CCA. We present a case of 37-year-old female patient diagnosed with Hilar Cholangiocarcinoma who presented with complaints of loss of appetite since 2 months associated with generalized itching and yellowish discoloration of sclera & skin with palpable firm mass in right hypochondriac region. The patient underwent Percutaneous Transhepatic Biliary Drainage (PTBD) followed by internalization to relieve the biliary obstruction along with Intra Luminal Brachytherapy (ILBT) of 20Gy (4 fractions of 5Gy each). The patient was symptomatically better for 6 months with much alleviation of pain, jaundice and was able to continue with her daily activities. Therefore, it can be concluded by saying that ILBT is an effective modality of treatment in HCCA for alleviation of pain and maintaining patency post PTBD procedure.
Authors and Affiliations
Dr. Shreya Chatterjee , Dr Pranitha Sl, Dr. Geeta SN, Dr. S. Narayanan
Clinical and Neurological Changes in Children with Down Syndrome Based on The Cytogenetic Profile
Down syndrome is the most common chromosomal pathology. It occurs when another chromosome appears in the 21st pair as a result of a random mutation. Often, children with Down syndrome (DS) and related disorders have some...
The Effect of Deep Traumatic Overbite on the Periodontium of the Upper Anterior Teeth in a Cohort of Adult Saudi Dental Patients
Aim: to assess the relationship between deep overbite with palatal impingement and periodontal health status in a cohort of adult Saudi dental patients. Materials and Methods:Ten patients (4 males and 6 females, a...
Navigating Through a Struggling Health System; the Staggering Experience of a Struggling Family
Born at 28 weeks of gestationand weighing 800gat birth, herfatherpreferred a public health facility where the cost of neonatal intensive care is less prohibitive.At the same time, her mothersuffered wound de...
A Randomized, Open Labeled Clinical Survey To Evaluate The Anti-Viral, Anti-Inflammatory and Immune Modulator Role of Polyherbal Combinations in Viral Infections of Respiratory Tract
Cough is the common reflex produced for upper respiratory tract infections (URTI), however, a cough can also be a symptom of other hidden conditions like asthma or other lung diseases. The immune modulation with Ayurvedi...
Half-Life of Hepaticojejunal Anastomosis of First Time Performed in the Umae 25 in Patients with Bile Tract Lesion
Theoretical Framework:Bile duct lesions are an infrequent pathology, occur in 0.2-4% of biliary surgeries and can have an important impact on the postsurgical evolution of the patient with bile duct pathology...