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Cited by 1,307

The DOI matches its Crossref record; 137 of the 137 references it cites were found in a registry or an index.

Pathogenesis, Diagnosis, and Management of Cholangiocarcinoma

Open access
Ilyas, Sumera I., Gores, Gregory J.·2013·Gastroenterology

Abstract

Cholangiocarcinomas (CCAs) are hepatobiliary cancers with features of cholangiocyte differentiation; they can be classified anatomically as intrahepatic (iCCA), perihilar (pCCA), or distal CCA (dCCA). These subtypes differ not only in their anatomic location but in epidemiology, origin, etiology, pathogenesis, and treatment. The incidence and mortality of iCCA has been increasing over the past 3 decades, and only a low percentage of patients survive until 5 y after diagnosis. Geographic variations in the incidence of CCA are related to variations in risk factors. Changes in oncogene and inflammatory signaling pathways, as well as genetic and epigenetic alterations and chromosome aberrations, have been shown to contribute to development of CCA. Furthermore, CCAs are surrounded by a dense stroma that contains many cancer-associated fibroblasts, which promotes their progression. We have gained a better understanding of the imaging characteristics of iCCAs and have developed advanced cytologic techniques to detect pCCAs. Patients with iCCAs are usually treated surgically, whereas liver transplantation following neoadjuvant chemoradiation is an option for a subset of patients with pCCAs. We review recent developments in our understanding of the epidemiology, pathogenesis, of CCA, along with advances in classification, diagnosis and treatment.

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Crossref · 10.1053/j.gastro.2013.10.013

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Metadata

Authors
Ilyas, S. I., & Gores, G. J.
Venue
Gastroenterology
Publisher
Elsevier BV
Published
2013-12
Volume
145
Issue
6
Pages
1215-1229
ISSN
0016-5085 (ISSN-L)
OpenAlex
W2028700227
Cited by
1,307
References
137
FWCI
61.97
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Pathogenesis, Diagnosis, and Management of Cholangiocarcinoma. https://app.cochat.ai/papers/10.1053/j.gastro.2013.10.013
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Ilyas, S. I., & Gores, G. J. (2013). Pathogenesis, Diagnosis, and Management of Cholangiocarcinoma. Gastroenterology. https://doi.org/10.1053/j.gastro.2013.10.013

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.