a surgeon and oncologist Ivan Karasev told about the symptoms and risk factors dangerous type of cancer – the so-called cancer of the large duodenal nipple (BDS). It is rarer than cancer of the pancreas. However, it is also quite dangerous.
– Often precipitating factor is the presence of adenoma of the nipple, the treatment of which was not carried out, and it turned into cancer. Therefore, timely diagnosis is necessary, – the doctor noted.
the diagnostics are performed by gathering a thorough patient history, ultrasound, fluoroscopic cholangiography, PET-CT, MRI – cholangiography, gastroduodenoscopy, endoscopic ultrasonography. Plus diagnostics, which involves the assessment of increasing levels of bilirubin, alkaline phosphatase, amylase, transaminases, cholesterol in blood plasma and determining the increase of tumor markers CA-19.
the Main clinical manifestations of the disease include aching pain in the right hypochondrium, as well as severe itching of the skin and its yellowing, appetite problems and “undue” weight loss, fever, severe nausea.
in Addition to genetic predisposition, there are a number of other risk factors of the disease. It gallstone disease, developmental abnormalities, congenital dilatation of bile ducts, sclerosing cholangitis, a bacterial infection.
