Cancer of the bile ducts
Aetiology
- PSC is a risk factor
Clinical presentation
- Jaundice
- Weight loss
- Anorexia
- Lethargy
Investigations
LFTs
- Cholestatic - ALP > ALT/AST, ↑ GGT and bilirubin
Imaging
- USS
- MRCP
- Spiral CT/ERCP/PTC
Management
- Surgery - bile duct and liver resection
- Palliative - biliary stent
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