Resumen

• Painless jaundice, weight loss, and abdominal pain in patient >55 years old.
• Liver enzymes, blood levels of CA 19-9, CEA, CA-125; abdominal ultrasound, abdominal CT/MRI, MR angiography, and cholangiography (ERCP, MRCP, percutaneous transhepatic catheterisation) are used for evaluation.
• Surgical resection offers only potential cure.
• Chemotherapy has been shown to be relatively ineffective.
• Liver transplant is indicated in a small subset of patients.