longest survivor of cholangiocarcinoma

by

longest survivor of cholangiocarcinomawhat is the most important component of hospital culture

See this image and copyright information in PMC, More advantages in detecting bone and soft tissue metastases from prostate cancer using. -, World J Surg. 2023 Cholangiocarcinoma Foundation - All Rights Reserved - Disclaimer, Language, Translation & Accessibility Options, Staging Perihilar Extrahepatic Cholangiocarcinoma, Staging Distal Extrahepatic Cholangiocarcinoma, Understanding Your Clinical Trial Results. In some places, though, cholangiocarcinoma is more common. A computed tomography (CT) scan performed 30 months after surgery identified a new solitary hepatic recurrence and duke pancreatic monoclonal antigen type-2 (DUPAN-2) levels were increased. Endoscopic biliary decompression improved the QoL faster than surgery. I was now stage 4. Heidi has been a Cholangiocarcinoma Foundation ambassador at health fairs,, Working out was something of a side-hustle for me the last three years. Cholangiocarcinoma, also known as bile duct cancer, occurs mostly in people older than age 50, though it can occur at any age. these therapies only work for a finite amount of time without inducing long term remission. Heidi Rhea is a long-term survivor. Thinking it was just dry skin, I began applying lotion more often. By Cholangiocarcinoma Foundation | December 7, 2021. I was stage 2b and advised to follow the standard of care; six months of chemo with a cocktail of gemcitabine and cisplatin. Hilar cholangiocarcinoma (HCCA) is a type of bile duct cancer that occurs in the extrahepatic biliary tree proximal to the origin of the cystic duct [].It is the most common malignancy arising from the biliary tract, accounting for two thirds of cholangiocarcinoma [].The prognosis is generally poor because early diagnosis is difficult and most patients present with advanced disease. In our case treatment was not an option, as my mom is getting the same side effects as if she were receiving the standard treatment. 2019 Jan;110(1):303-309. doi: 10.1111/cas.13872. The new insight of treatment in Cholangiocarcinoma. 2017 Apr;161(4):897-908. doi: 10.1016/j.surg.2016.10.024. Health-related quality of life in primary hepatic cancer: a systematic review assessing the methodological properties of instruments and a meta-analysis comparing treatment strategies. HHS Vulnerability Disclosure, Help Chemo is the weed killer. The 5-year survival rate for extrahepatic bile duct cancer is 10%. The docs are not quiite sure yet what to do with me. My husband is tolerating chemo well afew months down the line from my original post ,,,hisLiverfunction and cancer markers are improved . 2009 Jun;35(4):322-7. doi: 10.1016/j.ctrv.2008.11.009. He had his first chemo lastweek and touchwood to date has had no side effects. You will also read general information on surviving the disease. official website and that any information you provide is encrypted My excitement for sweets is balanced by my love of tennis and hiking. This site needs JavaScript to work properly. I always look at that section and it stays at four. Healing needs to be physical, spiritual and mental. How awful for you and your sister. -, Br J Cancer. In 1995, the patient was admitted to our institution after a large tumor in his left liver was detected using computed tomography (CT). I am 53 and living each day at a time enjoying life. It must be really hard for you at the moment and I hope you will meet others here facing a similar situation who have had to make similarly difficult choices. Looking back over the last six years, I reflect on the thought that cancer is not a blessing, but many blessings presented themselves during the rough ride, blessings in the way of all the beautiful friends I have made with the same cancer, and the blessing for the appreciation of life. The tumor stage was T2aN0M0, stage II, based on the TNM . We were told from his oncologist team that after 3 months of aggressive chemo that we are going 2 hve another CT scan 2 c if the tumor has shrunk. PDF | Background: This study aimed to determine the role of surgical treatment in patients with stage II intrahepatic cholangiocarcinoma (iCCA).. | Find, read and cite all the research you need . Just wanted to dig up this old topic and put it out there again, remain positive, Pat, Jeans post would be great in survivor section. 2020 Jan;219(1):175-180. doi: 10.1016/j.amjsurg.2019.02.015. If the cancer has spread to the regional lymph nodes, the 5-year survival rate is 8%. I don't put much money into retirement anymore and I truly live in the moment. Were hoping the chemo will shrink the tumours be make them operable so keep your fingers crossed. After 19 months, CT revealed tumor regrowth and another new metastatic lesion was identified in the left kidney. It offers drawings of body parts often affected by bile duct cancer. Conclusions: The highest 2-year survival rate was 5.5%. My husband is ONLY 59, NEVER DRANK IN HIS LIFE !!! Teo PM, Kwan WH, Chan AT, Lee WY, King WW, Mok CO. Int J Radiat Oncol Biol Phys. I have mentored over 100 patients through the Scott Hamilton 4th Angel program, and also through various other organizations. When symptoms of cholangiocarcinoma do occur, they may include: Cholangiocarcinoma is rare. First, I knew that faith played a strong role in my life, and I knew that I needed to rely on my faith to get through this. Background: This study aimed to determine the role of surgical treatment in patients with stage II intrahepatic cholangiocarcinoma (iCCA). Knowledge is power and I felt hope when I learned I had the FGFR mutation and all of the information that was shared on my molecular profiling report. I guess I should add, when diagnosed stage 4 nonoperarable had spread to the lungs and lympnodes. Background Because of its high rate of early recurrence and its poor prognosis, long-term survival after cholangiocarcinoma is rare; therefore, only limited information on patients surviving more than 5 years after surgical therapy is available. My main problem now is fluid buildup in the abdomen, which is common with this disease. Slightly longer survival was recorded when chemotherapy was added and also after endoscopic placement of metallic stents. 2022 Apr 21;28(15):1574-1587. doi: 10.3748/wjg.v28.i15.1574. I think it is possible to live a long full life after cholangiocarcinoma just like people without cancer. Biliary tract cancers: from pathogenesis to endoscopic treatment. Following regrowth of the hepatic recurrence, CIRT was repeated at a dose of 66 Gy (RBE) in four fractions over 4 days [16.5 Gy (RBE)/day] and stable disease was maintained for 19 months. The 5-year survival rate for extrahepatic bile duct cancer is 10%. I feel bitter and sad , why us ?, were good people. [A case report--intrahepatic arterial infusion with CDDP and S-1 administration can elicit long-term survival for the patient with recurrenced intrahepatic cholangiocarcinoma after resection]. J Clin Oncol. Is there anyone out there that can give us some kind of hope ?? Erratum: Recurrent cholangiocarcinoma with long-term survival by multimodal treatment: A case report. [Google Scholar] Discussion Board Forums General Discussion Long term survivor with cc. I refused to give up and had chemotherapy on and off for 2 years now. 71% of the patients had hilar tumor (Klatskin), 23% distal and 6% intrahepatic CCA (IH). I had a resection a couple of weeks after that frightful ER visit, and I did not think I would survive the surgery. government site. It's only my 2nd cycle and I am waiting to have a scan. doi: 10.1097/SLA.0b013e3182708b57. [A case report of combined hepatocellular-cholangiocarcinoma whose lymph node recurrence effectively treated with UFT]. Remember, survival rates depend on several factors. Not very comforting., although I love, love love the stories. Hi, I was diagnosed in Aug 2019 and at first given months then within a week was told I had weeks. Please enable it to take advantage of the complete set of features! J Hepatobiliary Pancreat Surg. 2018;163:732738. This site needs JavaScript to work properly. eMedicineHealth does not provide medical advice, diagnosis or treatment. In the beginning, my husband taught me to thank God for today, and to ask Him for tomorrow. I really hope it continues. I was on a lot of Dilaudid, but I had enough wits to see that the mass was very large, and Dr. Appleton was not feeling hopeful. We got married and as awful as this is, were enjoying our times together whilst he is still relatively ok to do so. (Source accessed January 2022.). Cancer Sci. -, Valle J, Wasan H, Palmer DH, Cunningham D, Anthoney A, Maraveyas A, Madhusudan S, Iveson T, Hughes S, Pereira SP, et al. Ninety-five patients (40 %) underwent laparotomy, and in 57 (63 %) of these patients resection was performed. In the book, the author talks about true heroism as refusing to quit when there was no chance to win and giving your all in the face of absolute defeat. Paik WH, Park YS, Hwang JH, Lee SH, Yoon CJ, Kang SG, Lee JK, Ryu JK, Kim YT, Yoon YB. Hepatic resection and palliative surgery are the two most common surgical treatments for this illness. We prospectively enrolled 133 patients diagnosed with CCA in the 3rd Medical Clinic, Cluj Napoca, over a 4-year period (2005-2009). 2010 Nov;37(12):2729-31. Before and transmitted securely. 2022 Oct 14;14(10):e30315. Demols A, Marchal R, Devire J, Van Laethem JL. Also, gallstones and inflammatory conditions of the digestive tract, such as ulcerative colitis or an associated condition called primary sclerosing cholangitis (PSC), increase the risk of bile duct cancer. Tumor did not grow for about a year but it is now; there is also a second one within liver. I had just separated from my husband and I was trying to find my groove as a single mom. See theRisk Factorsand Prevention section for more information. I had a successful liver ablation at that time and tried the FGFR inhibitor Balversa later in the year, but it was not an effective treatment for me. I spent the weekdays in Seattle and flew home on weekends. Methods: Data were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. Just 20 days after being diagnosed, I was having surgery to remove the tumor, along with 2/3 of my liver. The 7 % long-term survival rate of unresectable patients is remarkable and emphasizes the indolent growth of some of these tumors. Intrahepatic cholangiocarcinoma (those starting within the liver) five-year survival rates: Extrahepatic bile duct cancers (those starting outside the liver) (includes both perihilar and distal bile duct cancers) five-year survival rates: 2022 WebMD, Inc. All rights reserved. The https:// ensures that you are connecting to the The author seeks to answer the question of Why do they carry on in the face of utter and certain defeat?. The true incidence of bile duct cancer is unknown, however, because establishing an accurate diagnosis is difficult. Disclaimer, National Library of Medicine Epub 2019 Feb 12. Now the emotional turmoil on the other hand there is a whole other topic. I wish you well . Background/aims: Perihilar cholangiocarcinoma is a rare disease with unfavorable prognosis resulting in low survival rates. Koyama K, Ebata T, Yokoyama Y, Igami T, Sugawara G, Mizuno T, Yamaguchi J, Nagino M. Recurrence after curative-intent resection of perihilar cholangiocarcinoma: Analysis of a large cohort with a close postoperative follow-up approach. Its heart wrenching watching him everyday and what must be going through his mind. What Is the Life Expectancy for Cholangiocarcinoma? Gonzalo Sapisochin, Tommy Ivanics, Vijay Subramanian, Majella Doyle, Julie K . Overall survival and local recurrence-free survival rates of HCC-CC were between HCC and CC rates. Planning CT scans demonstrating (D) first and (E) second CIRT imaging. I wanted my husband to have a healthy and vibrant wife, but instead I felt like he had damaged goods. I am a patient and an advocate, but first, I am a mother to three amazing sons. Federal government websites often end in .gov or .mil. 2009 Jan;69(1):55-62. doi: 10.1016/j.gie.2008.04.005. 8600 Rockville Pike It's located in his main bile duct of the liver. He feels well but has clearly lost weight and looks very jaundiced. Careers. The five-year survival rate for bile duct cancer that hasn't spread outside of the bile ducts is 10% to 15%. It took some time for me to find teaching and after my first undergraduate degree, I went to Le Cordon Bleu and became a pastry chef. were excluded, as were case reports/series of <10 patients. If the cancer has spread to a distant part of the body, the 5-year survival rate is 2%. 2016 Oct;5(4):280-289 I'm from Glastonbury, CT, or ig inally from Hartford, CT. I'm a retired public elementary school teacher with more than 30 years of teaching experience. He offered an aggressive approach, shared that science was leading the way in new treatments, and helped me find my voice. Hilar cholangiocarcinoma is the most common malignant tumor of the extrahepatic bile duct.Up to now,radical resection has been the most effective method for the long-term survival of patients with this disease.However,many problems have emerged in the field of hepatobiliary surgery over time,including complex surgical procedures,low resection rates,and postoperative complications.We have . Surgery for recurrent biliary carcinoma: results for 27 recurrent cases. Have declined chemo and radiation not possible given location of tumor. VINEYARDS; FARMING PRACTICES; WINES. We evaluated the relationship between clinicopathological features of the primary tumor and implementation of the repeat surgery to identify its potential selection criteria. We were told from his oncologist team that after 3 months of aggressive chemo that we are going 2 hve another CT scan 2 c if the tumor has shrunk. Thus, prognostic factors and long-term survival after resection of IHC remain uncertain. 2008; 15:545-548. doi: 10.1007/s00534-007-1270-1. The overall median survival time was 31 months, and the 1- and 3-year survival rates were 89% and 40%, respectively. The purpose of this research is to identify the elements of post-resection HC survival that are most . My favorite book right now is Blind Your Ponies, by Stanley Gordon West. -, Horgan AM, Amir E, Walter T, Knox JJ. Its about the town of Willow Creek, MT, whos high school basketball team hasnt won a game in 5 YEARS, yet they play every game like there was a chance, even though they many be down 50pts with one minute to go, they played just as hard, like they actually had a chance to win. He has been through 7 surgeries and 2 1/2 months of chemotherapy. My husband has chosen not to know his prognosis, after all it is just an estimation. The patient received systematic chemotherapy again and died of the disease 81 months after the initial surgery. Before Most people who develop cholangiocarcinoma are older than 65. PDF | Background Although hilar cholangiocarcinoma (HCCA) has a very poor prognosis, there are cases in which long-term survival is rarely obtained by. Cisplatin plus gemcitabine versus gemcitabine for biliary tract cancer. My partner received similar news yesterday, inoperable, because of where it is and drainage and chemotherapy being the only treatment plan, Hes 56 and 3 weeks ago was leading a normal life, just went jaundiced over a couple of days. Li Q, Zhang J, Chen C, Song T, Qiu Y, Mao X, Wu H, He Y, Cheng Z, Zhai W, Li J, Zhang D, Geng Z, Tang Z. I started six months of chemotherapy, and upon completion I thought, I am done with this cancer, end of story! I had that off-island, in America, and went back to Virginia Mason in Seattle where I had my resection. My name is Bekki. 10 Things People With Depression Wish You Knew, Abnormalities where the bile duct and pancreatic duct normally meet, Older age: most people diagnosed with cholangiocarcinoma are in their 60s or 70s. Unable to load your collection due to an error, Unable to load your delegates due to an error. An official website of the United States government. Conclusions: Disclaimer, National Library of Medicine Wow, you have a great story, one of the miracles that give the rest of us hope. Hell J Nucl Med. doi: 10.7759/cureus.30315. PDF New Techniques of Resection and Long- Term Survival for . Intrahepatic Cholangiocarcinoma Survival Rate If it is possible to remove the tumor entirely, there is a possibility of being cured. (A) Postoperative CT scan at 10 months revealing multiple solid liver tumors (yellow arrows). Use the menu to choose a different section to read in this guide. Incidence rate and median survival time of cholangiocarcinoma patients according to anatomical classification, combination of anatomical and morphological classification separated by stage of . Topic Guide. Uehara S, Hirano F, Sakai N, Honjo K, Hirayama A, Moriya H. Gan To Kagaku Ryoho. This is a wonderful post. Selective Internal Radiation Combined with Chemotherapy Maintains the Quality of Life in Intrahepatic Cholangiocarcinomas. Accessibility Physically he is well , and other than tiredness from chemo there is no pain or nausea and leads a functional life. I am so thankful for the clinical trial of Adoptive Cell Therapy with Dr. Rosenberg which has extended my life hopefully for many years to come! I had my second surgery removing 35 percent of my liver during an eight-and-a-half hour surgery, followed up by another six months of chemotherapy. Learn more aboutunderstanding statistics. Accessibility It is only accessible by boat or plane, and it does not have any traffic lights. Affected individuals can survive for several months to several years after diagnosis, depending on the location of the cancer and how advanced it is. For example, in northeast Thailand, cholangiocarcinoma occurs in about 110 per 100,000 people. Thanks! Currently, I have more than 30 survivors for whom I am a mentor from across the country. I dont expect to be a longterm survivor but I have already survived two edcuated guess prognoses. Then your doctor will probably want to see you once a year. Cancer of the bile duct (also called cholangiocarcinoma) is extremely rare. My husband was diagnosed with INOPERABLE liver cancer called cholangiocarcinoma in June. It sounds stupid, but I really do believe in the power of hope, and messages like this really raise the bar. https://www.cancer.org/cancer/bile-duct-cancer/about.html. Our research revealed 1- and 3-year survival rates of 75.2% and 37.1%, respectively. He surgically removed 78% of my liver in an eleven and a half hour surgery. Im also married with four children, now age 12 through 25. The most important piece of advice I give patients is the minute your doctor take your hope away, find a new doctor. Palliative treatment with self-expandable metallic stents in patients with advanced type III or IV hilar cholangiocarcinoma: a percutaneous versus endoscopic approach. 2023 MJH Life Sciences and CURE - Oncology & Cancer News for Patients & Caregivers. Cholangiocarcinoma is rare. -, Liver Cancer. Prognostic factors of recurrent intrahepatic cholangiocarcinoma after hepatectomy: A retrospective study. World J Gastroenterol. 8600 Rockville Pike Federal government websites often end in .gov or .mil. This means the estimate may not reflect the results of advancements in how bile duct cancer is diagnosed or treated from the last 5 years. 8600 Rockville Pike 2022 Jan 1;13(2):450-464. doi: 10.7150/jca.68264. Ten weeks later, I had my first recurrence. [A case of cholangiocarcinoma with marked reduction of tumor after oral administration of UFT]. Cancers (Basel). Disclaimer, National Library of Medicine The tumor remained almost unchanged until 2001 with only UFT administration; however, its size gradually increased to 7.8 cm in diameter. Further GC therapy was declined. 2022 Jan 31;12:832405. doi: 10.3389/fonc.2022.832405. Methods: Patients who underwent repeat surgery had a lower proportion of lymph node metastases (n = 0 [0%] vs. n = 47 [50.5%], p < 0.001), multiple tumors in the primary tumor (n = 1 [6.7%] vs. n = 31 [33.3%], p = 0.037), or early recurrence ( 1 year; n = 4 [26.7%] vs. n = 62 [66.7%], p = 0.003). It is important to remember that statistics on the survival rates for people with bile duct cancer are an estimate. Will My HER2-Positive Breast Cancer Spread? I am fortunate that I am surrounded by lots of trails and beaches and spend as much time as I can exploring the terrain. Where do these numbers come from? I had a liver resection, and I was diagnosed with Intrahepatic Cholangiocarcinoma. He didn't sugarcoat my diagnosis, but he offered hope. Comprehensive information for people with cancer, families, and caregivers, from the American Society of Clinical Oncology (ASCO), the voice of the world's oncology professionals. We report a 49-year-old man with unresectable intrahepatic cholangiocarcinoma (ICC) who was treated with oral tegafur-uracil (UFT) chemotherapy and survived for over a decade. government site. Together, we have raised over $100K, and we have granted money to a genomic research project at the Cleveland Clinic the last two years. I was quite passionate about chocolate and spent several years playing in kitchens. Results: A total of 217 patients with suspected HCCA were identified. It's located in his main bile duct of the liver. Surgery for perihilar cholangiocarcinoma (pCCA) offers the only possibility of long-term survival, but remains a formidable undertaking. Also, I am a Seattle native and still live in Seattle. Bethesda, MD 20894, Web Policies An official website of the United States government. Not much energy but still functioning. Endoscopic biliary decompression improved the QoL faster than surgery. Front Oncol. Kong L, Gao J, Hu J, Hu W, Guan X, Lu R, Lu JJ. -. Please enable it to take advantage of the complete set of features! doi: 10.1056/NEJMoa0908721. Use the menu to see other pages. What Are the Best PsA Treatments for You? Bethesda, MD 20894, Web Policies The procedure was scheduled for the next day. I itched everywhere my arms, my legs, my hands, my feet, my chest. See Additional Information. This time I thought, Okay God, I'm really done now, right? Please enable it to take advantage of the complete set of features! Cancer.Net GuideBile Duct Cancer (Cholangiocarcinoma). I think it is possible to live a long full life after cholangiocarcinoma just like people without cancer. I take the chemo well. I have just switched to immunotherapy. The relapse-free survival was 6 months (95% CI not . Registration is now open for our 2023 Annual Conference, It started as an itch. [ 1] Objective: Evaluation of the outcome after resection for distal bile duct cancer (DBC) with focus on the impact of microscopic histopathological resection . This site needs JavaScript to work properly. Cholangiocarcinoma (bile duct cancer) is a rare cancer that occurs when cells in a bile duct grow abnormally and out of control. Talk with your doctor if you have any questions about this information. She talks about cholangiocarcinoma at every opportunity. We report a 49-year-old man with unresectable intrahepatic cholangiocarcinoma (ICC) who was treated with oral tegafur-uracil (UFT) chemotherapy and survived for over a decade. The 1-year survival was significantly improved for patients who underwent surgery plus adjuvant chemotherapy. It was Aug. 5, 2015 the day after my 44th birthday. I sit on the Voice of the Patient Advocacy Council at the Cleveland Clinic because I feel it is so important for the voice of the patient to be heard. J Adv Pract Oncol. I was airlifted to Seattle. My second recurrence occurred several months later, and I started my third chemotherapy regimen, which was unsuccessful, and the tumors grew. 2005-2023 American Society of Clinical Oncology (ASCO). Mihalache F, Tantu M, Iancu C, Bodea R, Pru A, Acalovschi M. Cancer Treat Rev. I certainly don t feel well and struggle with symptoms, but am not nearly as sick as I ought to be by now. N Engl J Med. The mean age of the patients was 65 +/- 10.6 years: 55% were males. Epub 2021 Apr 26. J Gastroenterol Hepatol. My first surgery was eleven-and-a-half hours, and I received 14 units of blood, the surgeon removed 75 percent of my liver, and I was critical for the first week in ICU. Despite improvements in tumor diagnosis and surgical techniques, the long-term survival outcomes remain abysmal due to high rates of recurrence and metastasis [6, 7]. MeSH When he asked me a second time, I repeated myself. Background and aims: Careers. It would wake me in the middle of the night,, Heidi Rhea is a long-term survivor. The aim of this study was to evaluate the survival rate and quality of life in CCA patients. I believe in science and for me, that has provided a lot of hope. extirpation of the tumor including microscopically detectable disease R0 resection offers the best possibility of long-term survival in patients with CCA . Thankyou for yourpost, it is encouraging and helpful for me as at times I do get very anxious. He just had some pain and pressure that lead to it being identified. Patients with metastases had a much worse prognosis with a median . The median survival in patients with ciated human intrahepatic cholangiocarcinoma. Slightly longer survival was recorded when chemotherapy was added and also after endoscopic placement of metallic stents. eCollection 2021. Localized intrahepatic bile duct cancers, which have not spread outside of the bile ducts (stages 0 and 1), have a five-year relative survival rate of 24 percent. Some will do it and it is critical for patients facing this to know even stage 3 patients can be long term survivors if you pour through the statistics, so there is cause to remain hopeful. The CC Foundation has also been a beacon of hope and light and has infinitely made my world brighter. Percent means how many out of 100. Even when its detected early, the five year survival rates for people with this cancer is less than 25%. I spend my days at the local elementary school where I am a Special Education teacher. Intrahepatic cholangiocarcinoma may be associated with chronic ulcerative colitis and chronic cholecystitis. Epub 2009 Jan 14. Repeat surgery for recurrent ICC with an appropriate selection can be associated with prolonged survival. I am also in California. The largest tumor was located in segment 4 and had a diameter of 20 mm. Multidisciplinary treatment for hilar and intrahepatic cholangiocarcinoma: A review of the general principles. PMC DUPAN-2, duke pancreatic monoclonal antigen type-2; CA19-9, carbohydrate antigen 19-9; GC, gemcitabine and cisplatin; CIRT, carbon ion radiotherapy; cCR, clinical complete response; Lt. Would you like email updates of new search results? He is 32 and we have a baby. New KRAS Inhibitor to Be Studied in Lung, Colon and Pancreatic Cancers, Blood Test May Determine Which Patients With CRC Need Chemo After Surgery, MRI-Based Treatment May Decrease Prostate Cancer Side Effects, Profound Evidence Shows Breathing Can Improve Cancer-Related Pain and Stress, Everyone Thought Id Be Better After Cancer Treatment, But I Still Struggle. Aggressive follow-up care also is necessary to treat symptoms from tumor recurrence and persistence. She was diagnosed with cholangiocarcinoma almost 10 years ago. Thank you all for always reminding us that there are long-term survivors and there IS still hope. Heidi has always been a cancer advocate, especially with her family history of Lynch syndrome. 2009 Nov;24(11):1745-52. doi: 10.1111/j.1440-1746.2009.05915.x. The estimate comes from annual data based on the number of people with this cancer in the United States. It has been a good 2 years, very little pain or nausea. Even just reality n not fictional words. -, Cillo U, Fondevila C, Donadon M, Gringeri E, Mocchegiani F, Schlitt HJ, Iizermans JNM, Vivarelli M, Zieniewicz K, Olde Damink SWM, Groot Koerkamp B. Ann Surg. She was the longest survivor of correctable biliary atresia in our series in the Tohoku University Hospital. I am studying to be a research advocate so I can help patients navigate clinical trials, find second and third opinions and find the best possible treatment options. Our hope came in a second opinion at the Cleveland Clinic from my hero, Dr. John Fung. Phase I/II trial evaluating concurrent carbon-ion radiotherapy plus chemotherapy for salvage treatment of locally recurrent nasopharyngeal carcinoma. The outcome after surgery for intrahepatic cholangiocarcinoma (ICC) with lymph node (LN) metastasis is generally poor, [1][2][3][4] and there are very few reports of long-term survivors after surgery. Jackson County Jail Mugshots Medford, Oregon, Articles L