Analysis of the clinical symptom and its relationship with the clinical classification of hilar cholangiocarcinoma

Objective To explore the early clinical symptom and its relationship with the clinical classification for early diagnosis of hilar cholangiocarcinoma (HCCA) .Methods We used the Huang Zhiqiang's typing method based on the Bismuth's method, including five type according to the primary location of tumor.Type Ⅰand Ⅱ was classified as group A and type Ⅲ, Ⅳ and Ⅴ was group B.The main clinical sympotm, primary complaint and other clinical data of 72 HCCA confirmed with pathology and clinical data was analyzed.Results 24 (33.3﹪) HCCA's primary complaint was painless jaundice, and the other 48 (66.7﹪) appeared non-jaundice, including abdominal distention and loss of appetite, right upper abdominal pain, bilirubinuria, porcelain clay stool, body weight loss, hyperpyrexia and algor and so on.The 53.8﹪primary complaint was painless jaundice in group A, and 90.9﹪ was non-jaundice in group B.Conclusion The clinical symptom of HCCA is complicated, and associated deeply with its clinical classification.