Prognostic Factors in Intrahepatic Cholangiocarcinoma - A Systematic Review

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Prognostic Factors in Intrahepatic Cholangiocarcinoma - A Systematic Review

Anca Zgura, Catalin Savin, Luiza Tirca, Irina Balescu, Mihai Eftimie, Sorin Petrea, Adrian Hasegan, Bogdan Gaspar, Gabriel Petre Gorecki, Cristina Martac, Marilena Stoian, Nicolae Bacalbasa
Ahead of print, no. 0, 2024
Article DOI: 10.21614/chirurgia.2945
Introduction: intrahepatic cholangiocarcinoma (ICCA) are rare, aggressive cancers that develop in second order or smaller bile ducts. The aim of this review is to systematically review the most important prognostic factors affecting the long-term outcomes of these patients.

Material and Methods: articles conducted on this issue, written in English, published between from January 2000 to December 2023 in Cochrane Library, PubMed, Embase, MedLine, Web of Science, Elsevier, Google Scholar were systematically researched and reviewed.

Results: ICCA are usually late diagnosed cancers because of the asymptomatic character, and curative procedures are often not feasible, only 20 to 30% of patients being fit for surgery. With the prognostic of this aggressive malignancy being baleful, the most important risk factors but also prognosis factors seem to be represented by socioeconomic factors, morphological presentation, dimensions, number and extension of the tumor as well as resection margins.

Conclusions: once these factors are widely recognized and identified in each case, the clinician will be able to find the best treatment for these patients in order to improve the long-term outcomes.

Keywords: intrahepatic cholangiocarcinoma, prognosis, radical resection, lymphatic node metastasis, chemotherapy, vascular invasion