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Micro-scale Engineering for Cell Biology
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Introduction.

Narong Khuntikeo1,2, Ross H Andrews3,4, Trevor N Petney5

  • 1Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. nkhuntikeo@gmail.com.

Recent Results in Cancer Research. Fortschritte Der Krebsforschung. Progres Dans Les Recherches Sur Le Cancer
|September 3, 2023
PubMed
Summary

Cholangiocarcinoma (CCA), a deadly bile duct cancer, is linked to liver fluke infections affecting millions globally. Early detection and treatment are crucial for improving patient outcomes worldwide.

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Area of Science:

  • Hepatobiliary Medicine
  • Parasitology
  • Oncology

Background:

  • Cholangiocarcinoma (CCA) is a lethal bile duct cancer with global distribution.
  • CCA is etiologically linked to chronic liver fluke infections, particularly Opisthorchis viverrini, Clonorchis sinensis, and Opisthorchis felineus.
  • Southeast Asia, especially Northeast Thailand, is a hotspot for liver fluke-related CCA, with millions at risk.

Purpose of the Study:

  • To provide a holistic framework for understanding Opisthorchis viverrini-related CCA.
  • To cover the disease's basic biology, epidemiology, diagnosis, treatment, pathology, and control.
  • To highlight CCA as an under-resourced global public health issue, not just a regional concern.

Main Methods:

  • Multidisciplinary approach integrating ecology, epidemiology, and biology of liver fluke infections.
  • Focus on Opisthorchis viverrini as a primary CCA causative agent.
  • Comprehensive review of diagnosis, treatment (including palliative care), pathology, and control strategies.

Main Results:

  • Opisthorchis viverrini, Clonorchis sinensis, and Opisthorchis felineus are classified as Group 1 carcinogens.
  • An estimated 700 million people are at risk of liver fluke infection and subsequent CCA globally.
  • Early detection, diagnosis, and intervention are critical for improving CCA patient survival and quality of life.

Conclusions:

  • Liver fluke-induced CCA is a significant global health problem requiring increased attention and resources.
  • A comprehensive understanding of the disease's lifecycle, from infection to treatment, is essential for effective control.
  • This work aims to consolidate knowledge on CCA, emphasizing the need for a global perspective on this underestimated disease.