[Our experience regarding neoplasms of the extrahepatic bile ducts].
OBJECTIVE
We tried to study the cases of extrahepatic bile ducts tumors and to emphasize the main diagnosis methods in therapeutic--efficient phases.


METHODS
This is a retrospective statistical study of nine years of experience (1993-2001); in this time there were admitted 34 patients diagnosed with neoplasm of the extrahepatic bile ducts and periampular carcinoma. In this study we included patients with malignant tumors of the gallbladder, of the choledocus, with Klatskin's tumor and with cancers of the ampulla of Vater. The patients were between 37 and 83 years old (an average of 64.6 yr.). The sex ratio, M/F, was 1.83/1.


RESULTS
The most frequent sites were: the gallbladder (41%), followed by the ampullar carcinomas (26%), Klatskin's tumors (18%) and the tumors of the choledocus (15%). The peak of incidence was found in the eighth life decade (11 cases). The survival in this study group was significantly influenced by the time of the diagnosis. The results of this study confirm once more the severity of these tumors and the major difficulties of the early diagnosis.


CONCLUSIONS
The only chance for a significant survival in these patients is offered by an early diagnosis. The therapeutical options are centered by the extended resection of the tumors. The prognosis is darkened by the advanced degree of evolution in the moment of the diagnosis.
Clinica Chirurgie III, Spitalul Clinic Nr. 1 Judeţean, Bd. Liviu Rebreanu, 156, 1900, Timişoara.
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery*; D017734:Bile Ducts, Extrahepatic / Q000601:surgery*; D002277:Carcinoma / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D016896:Treatment Outcome