Local Control of Distal Cholangiocarcinoma With Radiofrequency Ablation at Endoscopic Retrograde Cholangiopancreatography.
Lizeth CifuentesCharles GabbertAdam SlivkaPublished in: ACG case reports journal (2024)
Distal cholangiocarcinoma (CCA) can pose diagnostic and therapeutic challenges, often leading to a poor prognosis. While curative resection is viable for a minority in the early stage, we report a case of successful endoscopic therapy. A 79-year-old patient, diagnosed with early-stage extrahepatic CCA, opted out of surgery and chemotherapy. Instead, he pursued a treatment strategy involving serial radiofrequency ablation with stent exchange at endoscopic retrograde cholangiopancreatography. The patient achieved remission, showcasing the potential for local control of distal CCA through radiofrequency ablation and covered self-expanding metal stents. This alternative becomes particularly relevant for patients unsuitable for surgery or chemotherapy and those who decline it.
Keyphrases
- radiofrequency ablation
- minimally invasive
- early stage
- poor prognosis
- ultrasound guided
- long non coding rna
- coronary artery bypass
- case report
- end stage renal disease
- prognostic factors
- ejection fraction
- newly diagnosed
- locally advanced
- sentinel lymph node
- rectal cancer
- surgical site infection
- peritoneal dialysis
- coronary artery disease
- rheumatoid arthritis
- endoscopic submucosal dissection
- squamous cell carcinoma
- patient reported outcomes
- mesenchymal stem cells
- acute coronary syndrome
- bone marrow
- combination therapy
- cell therapy
- climate change