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Abstract
A literature review of cholangiocarcinoma screening in Thailand
Suthasinee Kumluang*, Pritaporn Kingkaew*, and Yot Teerawattananon*
*Health Intervention and Technology Assessment Program (HITAP), Ministry of Public Health
     Cholangiocarcinoma (CCA) is a malignant disease with a high incidence in Thailand, especially in
the North-eastern region. In 2002, the incidence of CCA in Thailand is the world’s highest. Without indicative
symptoms in its early stage, the cancer is often detected when the disease becomes severe. Early
detection of CCA is thus important. The study aims to assess the population-based screening methods for
CCA through a systematic review. Due to an absence of clinical-effectiveness evidence of the screening
methods, no screening method was recommended for CCA. Health promotion is still the only option for
disease reduction through behavioral modification.