Bile duct cancer typically does not produce any symptoms until a later stage, and so early detection is vital for a better outcome. However, if you do notice any symptoms of the condition, you should seek medical advice as soon as possible. Bile is a substance produced by the liver and normally passes into the intestines. When bile duct cancer develops, however, the liver is not able to process bile properly and this may result in jaundice, a yellow color of the skin and eyes.
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If you have any of the symptoms of bile duct cancer, it is highly likely that the cancer has spread. The cancer may have spread to nearby lymph nodes or blood vessels. However, in some cases, the cancer may not have spread outside of the bile duct. If this is the case, treatment will involve surgery and follow-up treatments to eliminate any remaining cancer cells. The best treatment for bile duct cancer will depend on the size, location, and stage of the disease.
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During a physical examination, the doctor may detect tenderness in the abdomen and the right upper quadrant of the abdomen beneath the ribs. Tenderness in these areas may indicate that the liver is enlarged. A general exam can reveal bilirubin levels, which can also be detected in the white part of the eye and under the tongue. Blood tests may be ordered to measure liver enzyme levels and bilirubin levels, as well as BUN and creatinine levels.
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The risk of bile duct cancer is increased in certain ethnic groups, including Hispanic-Americans. People from Southeast Asia and China face a higher risk of bile duct cancer because of liver flukes. Other risk factors include alcohol abuse, cirrhosis of the liver, and obesity. Additionally, bile duct cancer is associated with high alcohol consumption and a family history of the disease.
