Cholangiocarcinoma
Male in the 80s
Chief Complaint: Jaundice
Past Medical history: No significant diseases
Current medical history:
He visited a nearby hospital complaining of, primarily, jaundice in July 2013. In a bile duct cancer examination, tumors were found in the hepatic portal section and the bile duct, and obstructive jaundice was developed. A PTCD-tube was inserted on July 16, 2013 and followed by a stent on August 23 in an attempt to reduce pressure in the bile duct and mitigate jaundice. He visited our hospital seeking for palliative care in September 9, 2013. He began fucoidan therapy, without any aggressive treatments including chemotherapy (his family members also declined such treatments), taking his age into consideration.
Treatment Outcomes:
His tumor shrank with only fucoidan therapy. CA-19-9 levels were improved to 434.4 from 1170, and the levels of ALP were improved to 509 from 1179, and the levels of γ-GTP also were improved to 13 from 230. The jaundice disappeared and he had no further pain.
※Data taken over the period of treatment
《CT images of the abdomen》
September 2013
June 2014
【Tumor markers】
September 2013 | June 2014 | ||
---|---|---|---|
CA19-9(≦ 37.0) | 1170.0 | 434.4 | (U/ml) |
【Biochemistry tests】
September 2013 | June 2014 | ||
---|---|---|---|
ALP(115 ~ 359) | 1179 | 509 | (U/l) |
γ-GTP (< 70) | 230 | 13 | (U/l) |