What is bile duct cancer?

Bile duct cancer starts in the cells of the bile duct. A cancerous (malignant) tumour is a group of cancer cells that can grow into and destroy nearby tissue. It can also spread (metastasize) to other parts of the body.

Diagram of the location of the bile and pancreatic ducts
Diagram of the location of the bile and pancreatic ducts

The bile ducts are part of the digestive system. Bile is a yellow-green fluid that helps your body digest fats. The bile ducts are tubes that carry bile from the liver to the first part of the small intestine (duodenum).

Cells in the bile ducts sometimes change and no longer grow or behave normally. These changes may lead to non-cancerous (benign) conditions such as bile stones or inflammation of the gallbladder (cholecystitis). They can also lead to non-cancerous tumours such as bile duct adenoma.

But in some cases, changes to bile duct cells can cause bile duct cancer. Most often, bile duct cancer starts in the cells of the inner lining (epithelium) of the bile duct. This type of cancer is called cholangiocarcinoma. The most common type of cholangiocarcinoma starts in the gland cells of the lining and is called adenocarcinoma of the bile duct.

Bile duct cancers are divided into 2 main groups based on where they start – either in the part of the bile duct outside the liver (extrahepatic) or in the part inside the liver (intrahepatic).

Rare types of bile duct cancer can also develop. These include sarcoma and lymphoma.

Expert review and references

  • Lillemoe KD, Schulick RD, Kennedy AS., et al . Cancers of the biliary tree: clinical management. Kelsen, D. P., Daly, J. M., Kern, S. E., Levin, B., Tepper, J. E., & Van Cutsem, E. (eds.). Principles and Practice of Gastrointestinal Oncology. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008: Chapter 37: pp. 493-507.
  • Siegel, A.B., Sheynzon,V., and Samstein, B. . Uncommon Hepatobiliary tumors. Raghavan, E., Blanke, C.D., Johnson, D. H., et al. (Eds.). Textbook of Uncommon Cancer. 4th ed. Chichester, England: John Wiley & Sons; 2012: 31:441-452.

The bile ducts

The liver, gallbladder and small intestine are connected by a series of thin tubes called bile ducts. The bile ducts are part of the digestive system. The bile ducts and gallbladder are also part of the biliary system, or biliary tract.

Cancerous tumours of the bile duct

A cancerous (malignant) tumour of the bile duct can grow into and destroy nearby tissue. It can also spread (metastasize) to other parts of the body. Most bile duct cancers start in the epithelial cells that form the lining inside the bile duct.

Precancerous conditions of the bile duct

Precancerous conditions of the bile duct are changes to bile duct cells that make them more likely to develop into cancer. These conditions are not yet cancer. But if they aren’t treated, there is a chance that they could become bile duct cancer.

Medical disclaimer

The information that the Canadian Cancer Society provides does not replace your relationship with your doctor. The information is for your general use, so be sure to talk to a qualified healthcare professional before making medical decisions or if you have questions about your health.

We do our best to make sure that the information we provide is accurate and reliable but cannot guarantee that it is error-free or complete.

The Canadian Cancer Society is not responsible for the quality of the information or services provided by other organizations and mentioned on cancer.ca, nor do we endorse any service, product, treatment or therapy.


1-888-939-3333 | cancer.ca | © 2024 Canadian Cancer Society