Cancer Research UK logo.
SearchDonate
  • Search

Bile duct cancer (Cholangiocarcinoma)

Stages and grades of bile duct cancer

The tests you have will tell your doctor how big the cancer is and if it has spread. This is called the stage of the cancer. The grade tells you how abnormal the cancer cells look under a microscope.

Doctors use either the number or TNM staging system to describe a bile duct cancer. They also use the Bismuth-Corlette classification to describe where a perihilar bile duct cancer is.

The stages are different for each type of bile duct cancer.  

Find out about the different types of bile duct cancer

About bile duct cancer stages and grades

Your doctor describes bile duct cancer based on how big it is and how far it has spread (stage). They also describe how abnormal the cancer cells are (grade).

Intrahepatic bile duct cancer stages

Intrahepatic bile duct cancer starts in the bile ducts in the liver. Doctors usually use the number or TNM staging systems to describe intrahepatic bile duct cancer.

Perihilar bile duct cancer stages

Perihilar bile duct cancer starts just outside the liver. Doctors usually use the the Bismuth-Corlette classification and the number or TNM staging system to describe perihilar bile duct cancer.

Distal bile duct cancer stages

Distal bile duct cancer starts in the bile ducts near the pancreas and small bowel. Doctors usually use the number or TNM staging systems to describe distal bile duct cancer.

Last reviewed: 14 Oct 2024

Next review due: 14 Oct 2027

The Dangoor Education logo.

Dangoor Education

About Cancer generously supported by Dangoor Education since 2010. Learn more about Dangoor Education

Patient Information Forum. Trusted Information Creator.
Plain English Campaign award.

Help and Support

An icon of a hand shake.

Questions for your doctor

What to ask your doctor about clinical trials.

An icon of two speech bubbles, indicating a conversation.

Cancer chat forum

Meet and chat to other cancer people affected by cancer.

An icon of a landline phone.

Nurse helpline

Questions about cancer? Call freephone 0808 800 40 40 from 9 to 5 - Monday to Friday. Alternatively, you can email us.