Expert Diagnosis is Key
Comprehensive evaluation with accurate diagnosis is the foundation for
achieving highly successful outcomes. That’s why it’s important
to seek care from a center that provides a multidisciplinary, specialized
team experienced in the accurate diagnosis and treatment of bile duct cancer.
Beginning with a thorough evaluation that includes a comprehensive physical
exam, personal medical history review and state-of-the-art diagnostic
workup, Hoag’s multidisciplinary team of board-certified, fellowship
trained gastrointestinal experts carefully evaluate and pinpoint the nature
of the cancer, so the most appropriate personalized treatment options
can be employed.
Hoag’s state-of-the-art diagnostic technologies provide our team
with the latest modalities in the accurate diagnosis of bile duct cancer
and other disorders. Some of the progressive imaging studies that may
be utilized include:
Blood tests are used to determine whether certain substances are being released into
the blood by organs, tissues or tumor cells, as well as to check liver function.
Ultrasound utilizes sound waves to examine the liver, spleen and other organs in order
to determine any masses that may exist.
Endoscopic Ultrasound (EUS) uses an ultrasound device to make images of your bile duct and pancreas
from inside your abdomen.
Computed Tomography (CT) utilizes state-of-the-art x-rays to help determine the extent of the cancer
and whether it encompasses the surrounding organs.
Magnetic Resonance Imaging (MRI) is a test that uses magnetic waves to create detailed pictures of structures
inside the body.
- Positron Emission Tomography (PET) is used to identify malignant cells
even before an actual lesion (lump) can be detected in a physical exam,
or on a CT or MRI scan.
Cholangiography is an invasive test that uses x-rays and a large needle inserted into
the liver to examine the gallbladder and bile ducts. This can be done
to collect cells from the bile ducts to help diagnosis cancer.
Endoscopic Retrograde Cholangiopancreatography (ERCP) uses a dye to highlight the bile ducts in the pancreas, so that an accurate
image of the bile duct and pancreatic duct may be obtained. The physician
may also insert small tubes (called stents) into the bile duct or the
pancreatic duct, if they are obstructed, to relieve the obstruction. Additionally,
a tissue sample (biopsy) may be collected during ERCP.
MRCP is a modified MRI that utilizes specialized software to obtain a composite
image of the pancreatic duct and the bile duct from the digital MRI images.
This study provides similar information to an ERCP. However, as a diagnostic
study, MRCP study is preferred to ERCP since this procedure is not invasive.
Diagnostic Laparoscopy is a minimally invasive surgical procedure used to examine internal organs
by direct visualization. Small incisions are made in the abdominal wall,
and a thin, lighted tube called a laparoscope is inserted. This procedure
allows the surgeon to evaluate whether the cancer has spread outside of
the pancreas prior to performing surgery. This is an important part of
planning for surgery.
Biopsy is the removal of a sample of tissue for testing. This procedure is performed
to definitively diagnose pancreatic cancer, and may involve other methods
outside of laparoscopic biopsy, such as endoscopic ultrasound or fine-needle
It’s important to note that proper diagnosis and staging of bile
duct cancer is critical to developing a successful treatment plan. That’s
why it’s so important to seek proper evaluation and treatment from
a healthcare expert experienced in the most advanced hepatobiliary cancer care.
Innovative Treatment for Bile Duct Cancer
When it comes to bile duct cancer, Hoag Family Cancer Institute provides
a full array of progressive treatment options. As a recognized leader
and high-volume provider of innovative cancer care, Hoag’s multidisciplinary
team of experts performs some of the most advanced procedures available
in the nation with clinical outcomes that rival national figures.
Expert Care You Can Trust
Hoag Family Cancer Institute, in collaboration with skilled physician specialists
and USC Norris Comprehensive Cancer Center, continues to lead the way
in complex cancer care, providing access to a highly specialized multidiciplinary
team, including Medical Oncologists, Radiation Oncologists, Gastroenterologists
and Surgical Oncologists. Hoag’s committed to accurate diagnosis,
combined with progressive therapeutic options enables Hoag patients to
achieve some of the highest clinical outcomes in the nation.
To schedule a comprehensive diagnostic evaluation, or a second-opinion
consultation with a Hoag expert, call us at 949-764-5350.