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RE: Cholangiocarcinoma; clinical features and diagnosis ( Part One)

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Thank you Dr. Agrawal. Of interesting note, the person who was probably the

most instrumental in mentoring me into natural health in the late seventies who

by the way is vegan and has one of the strictest raw foods diets that I know,

was diagnosed with this about a year and a half ago. He was yellow, and I mean

yellow. The MD's at Harborview put a stent in his duct to open it up and wanted

to take his gallbladder, half of his liver, a portion of his small intestine,

and about a third of his pancreas, followed by chemo; which he graciously

refused. He went to the Hippocrates institute in Florida where he went through

raw fods and metabolic thrapy for three weeks at the end of which they

discharged him and told him to go back and have his stent replaced with a new

one because of the tumor receding. He went back to Harborview and when he

awoke, the Dr. informed him that they removed the stent but did not put a new

one in because the duct was clear! Craig is no longer yellow. And Seems to be

in the best of health.

Before we look at this and say, " Wow, a guy who has such an immaculate

diet and he still gets cancer. " Think of what his health would have been like

if he had not made these choices in the 70's. All the best,Dave

gallstones@...: jitendraagrawal2000@...: Sun, 13

Jul 2008 19:03:45 +0000Subject: Cholangiocarcinoma; clinical

features and diagnosis ( Part One)

Extrahepatic cholangiocarcinomas, whether in the lower duct or in thehilum,

present with painless jaundice or jaundice with mild pain inmore than 90% of

cases. Intrahepatic cholangiocarcinomas usuallypresent consequent to detection

of a mass or abdominal fullness by thepatient or as upper abdominal discomfort

or pain. Preoperativeevaluation typically includes right upper quadrant

ultrasound, dynamicCT scan, MRCP (in centers with technical expertise in this

procedure)and/or ERCP with brushing/biopsy. Tumor markers such as CA 19-9 can

beuseful in conjunction with biopsy or brushings to confirm thediagnosis. If a

tissue diagnosis cannot be confirmed, ultrasound orCT-guided percutaneous biopsy

should be considered.A review of clinical features and diagnosis of

cholangiocarcinomas hasbeen posted on :http://www.surgerysearch.blogspot.com/Dr.

Jitendra Agrawal, Kanpur, India.

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