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From Dr. Gores - standard for testing for CCA; URSO

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Hi all,I finally e-mailed Dr. Gores regarding how often to test for Cholangiocarcinoma. I was originally diagnosed with small-duct PSC, which is why he mentions it.Here is what he wrote:Hi Ms. Nilson

if you have small duct PSC no screening is needed. The urso trial suggested toxicity from URSO and you should stop the medication. If you have large duct PSC we would recommend an mri yearly along with a CA 19-9. i do not recommend ercp with brushings for fish for screening but only for diagnosis if there is jaundice

gregMarie

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