Abstract
Fifty-three cases of bile duct carcinoma were studied. Ten of the 53 cases (18.9%) survived more than 3 years and were analyzed for prognostic factors. These patients were all treated with resection and in 9 of 10, tumor was middle and lower third lesion. Longterm survivors were the patients with nodulous type tumor, no or slightly metastasis of regional lymph node (n0 or n1) and whose tumor was no or slightly extended over the mucosal of duct (s0 or s1). Long-term survival rate was 75.0% in stage I cases, 53.8% in stage II who were treated with resection.
Patients with upper third tumor had poor prognosis and there were no long-term survivors treated with more aggressive operation (extended right hepatectomy) but with middle third tumor had good results, and 5 of 7 were long-term survivors treated with bile duct resection only.
Pancreato-duodenectomy for lower third tumor also had good results.
