Skip to main content

Diagnostic and Staging Work-Up

  • ​The diagnosis may be made by suspicious findings on work-up for suspected gallstone disease or unexplained abdominal pain
  • Diagnosis is often an incidental finding of pathology post-cholecystectomy.
  • If there appears to be an isolated lesion, refer to a hepatobilliary surgeon who will determine if the disease is resectable or unresectable and arrange for the appropriate investigations
  • Tissue diagnosis can be difficult to obtain 
  • Triphasic CT scan of the abdomen is recommended to assess extent of local involvement 
  • Contrast-enhanced MRI may also provide information on diagnosis and extent of disease
  • CT scan of the chest and pelvis are recommended to exclude distant metastases
  • The presence of a bile duct stricture and/or jaundice is an ominous feature
  • PET scan is not routinely recommended for staging purposes
  • Laparoscopy may be considered for staging
  • Recommend baseline tumour markers at diagnosis: CEA, CA 19-9

SOURCE: Diagnostic and Staging Work-Up ( )
Page printed: . Unofficial document if printed. Please refer to SOURCE for latest information.

Copyright © BC Cancer. All Rights Reserved.

    Copyright © 2021 Provincial Health Services Authority