Recognising the signs and symptoms of biliary cancer can be hard. When the disease first develops, it often does not cause any obvious symptoms, or the symptoms may be like those caused by common, less serious conditions.
This means you may have been sent for several different tests before biliary cancer was considered, and you may have had the cancer for some time without knowing.
If you have symptoms that worry you, it's important to see your GP. This section explains what symptoms to look for, what happens when you see your doctor, and what to expect if you need to see a specialist.
Biliary cancer often has no symptoms in its early stages, which makes it hard to detect. This means a person can be living with biliary cancer for some time before a diagnosis is made.
As the disease progresses, some common symptoms may include:
Jaundice is a serious symptom of biliary cancer that needs urgent medical attention. If your skin or the whites of your eyes turn yellow, see your doctor right away.
Sometimes, biliary cancer is discovered by chance when you're having tests or scans for something else, before any symptoms appear.
If you've been experiencing any of the symptoms mentioned above, your first step should be to visit your general practitioner (GP).
Your GP will conduct a check-up to find out what's causing your symptoms. They will:
If you have jaundice, your GP will arrange urgent tests including:
It can be helpful to write down your symptoms before your appointment, including when they started and whether they've changed over time.
If your GP has concerns based on your symptoms and initial tests, they will refer you to a specialist for further investigation.
If you have jaundice, you should be referred to a specialist urgently. If you have other symptoms, your investigations should be completed and reviewed by your GP within two weeks of your first appointment.
If symptoms worsen while you're waiting for appointments or test results, contact your GP right away or go to an emergency department if needed.
If your GP has concerns about your symptoms, you will be referred to a biliary cancer specialist for further investigation.
You might see a biliary cancer specialist at a public hospital or in private practice.
Biliary cancer specialists are doctors who are highly trained in diagnosing and treating biliary cancer. They may include:
These specialists work as part of a team with other health professionals who will support you through your diagnosis and treatment.
You should be seen by a specialist within two weeks of referral. If you have jaundice, you should be referred immediately and seen urgently.
If you can't get an appointment within this time, follow up with your GP.
It can be helpful to bring a family member or friend with you for support and to help you remember what's discussed.
You should bring along any previous test results or medical records that might be relevant.
You may also want to bring a list of questions you'd like to ask, such as:
Speak to an upper GI cancer nurse or counsellor, we're here to provide you with the support you need. Support available to anyone impacted by upper gastrointestinal (GI) cancer. Monday to Friday, 9am-5pm.