@byaroch , Ms Rosemarya @rosemarya is a great consult. I was diagnosed feb 2017 de novo per hilar cholangiocarcinoma. I went thru chemoradiation brachey treatment and staging. They found in my old liver that the cancer had made perineural and vascular invasion. I had a auto acc. 13 mths. after the acc. that broke y neck and back. 1 yr later i was sched. to have more surgeries to help with paralyses. They found in my MRI and CT that i had lesions on my spinal cord and lungs. The oncologist , Dr Hiembach and Dr Rizvi . all told me that I would probably not make 5 yrs. Well here I am. When I started I told all the Dr's not to sugarcoat it. Let me deal with the emotions. I am sorry you are going thru this. Please look up the Cholangiocarcinoma Foundation. If you would like further conversation let me know. God Bless