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'Probable cholangiocarcinoma' is what the discharge notes from hospital actually said. He had had sky high liver function tests a month earlier and an MRI scan had shown some 'sludge' in the bile duct. An ERCP was performed which unfortunately did not unblock the duct and a bypass stent was inserted by the consultant. [I'm not sure if it was a radiologist or a gastroenterologist who did this procedure, rather think it may have been the latter]. Anyway the temporary stent was replaced a few days later by a permanent metal one. We were told that they had not collected any tissue to do a biopsy as it was hard to access without disturbing the blockage, hence the 'probable' diagnosis. He is 84 and was told the only treatment is palliative care and that the stent would become blocked in a few months and would probably need replacing. A CT scan showed no spread of the cancer.
Prior to a routine follow up appt in mid April with the consultant he had a full blood count and liver function tests done which were fine [haemoglobin was a bit low] but the bilirubin was now in single figures  and the ALT was now 78 where it had been 305 at the end of December. The GP was pleased with these results as was the gastrochap when we saw him later that week. He didn't examine him, just asked questions. As we left he said he wasn't going to do any scans [I imagine until they were needed] and to just 'go off and enjoy life'and he hasn't got another appt. So we did and have just returned from 10 days with our daughter in France where he enjoyed the wine and sunshine! It's hard to believe there is actually anything wrong with him he looks so well although he does tire easily but then he is 84 and has been becoming slower for some years now.
i am probably tempting fate by asking if it is possible that this diagnosis is wrong? They did not do a biopsy as I said and he was told the stent would block up in 3 or 4 months. It is now almost 5 1/2 months and he is seemingly well, eating as normal too.
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