刚得知我国内亲戚得"胆管细胞癌"后期,请指教

Just received surgery, pathology and radiology reports today:

12-29-2010 male 55, surgery to remove gallbladder and right-side liver with 5x6 primary tumor (location section VII). Adenocarcinoma, moderately differentiated. Pathology confirms cholangiocarcinoma, intrahepatic origin. No post-op chemotherapy

12-02-2011 multiple density-contrasted foci in liver, enlarged lymph node at liver portal and veins, enlarged spleen.  Multiple small cysts in liver, with calcification. Small cysts on both kidneys. Small nodules in upper left lung lobe. Expansion of bililary tubes inside liver, with wall thickening of main duct.  Enlarged lymph nodes at posterior peritonium.  Conclusion: recurrence of hepatic chlangiocarcinoma with local and distant metastasis to liver, kidney, abdomen and chest.

Treatment after recurrence

- Catheter RFA to remove bile stones

- Transmetil injection to alleviate jaudice and itching

- so far, no chemo, no radiation

His onclologist in China recommended against chemo, on grounds that they are ineffective.

 

So, I am seeking expert opinions here -

1. Chemo or no Chemo? If so, what chemo agents to try?

2. Tarceva?

3. Alternative - but what?

 

所有跟帖： 

• Dr. Stony, please -jaydad- ♂ (0 bytes) () 01/02/2012 postreply 20:47:25