What is your institutional practice for neoadjuvant therapy prior to transplanting cholangiocarcinoma?
Do you use chemoRT-->cape, gem/cis or gem/cis/durva? And do you include just perihilar or also small Intrahepatic Cholangiocarcinomas as well?
Answer from: Medical Oncologist at Academic Institution
We have largely been following the Mayo Protocol for perihilar cholangiocarcinoma, which is outlined here: A collaborative approach using liver transplant for perihilar cholangiocarcinoma treatment - we use chemoRT and capecitabine or 5FU. I do not think it would be wrong to cycle in some gemcitabin...