Outcomes in biliary malignancy.

摘要: The biliary malignancies that are reviewed here gallbladder cancer (GBC), intrahepatic cholangiocarcinoma (IHC), and perihilar (PHC). focus is on outcomes after potentially curative resection of malignancies. Key postoperative mortality, median 5-year overall survival (OS), recurrence-free survival, recurrence patterns. Poor prognostic factors for as well models also discussed. incidence in the United States about 5 100,000. Postoperative mortality GBC IHC similar to liver resections other indications. However, 90 day PHC 10%. For GBC, OS depends strongly T-stage ranges from 8 months (pT3) 79 (pT1b). Median 30 months, 38 months. majority patients with develop a resection. Patients recur early time 12 versus 20 PHC. In resected or locoregional was only site 60% patients, 15% GBC. all include presence lymph node metastasis, positive surgical margin, moderate poor tumor differentiation. Several nomograms have been developed predict long-term J. Surg. Oncol. 2014 110:585–591. © Wiley Periodicals, Inc.