Request a Mentor

Thank you for your interest in CholangioConnect. Please take a moment to answer the following questions so that we can match you with a CholangioConnect Mentor with a similar profile.

Your Location
Gender
Age
Diagnosis Type
Intrahepatic Cholangiocarcinoma

Intrahepatic CCA occurs inside the liver where cancer develops in the hepatic bile ducts or the smaller intrahepatic biliary ducts. In some cases, patients express a combined diagnosis.

Perihilar (Hilar or Klatskin Tumor) Cholangiocarcinoma

These cancers develop where the right and left hepatic ducts have joined and are leaving the liver. These are the most common type of cholangiocarcinoma accounting for more than half of all bile duct cancers.

Distal Cholangiocarcinoma

Distal CCA occurs outside the liver after the right and left hepatic bile ducts have joined to form the common bile duct. This type of cancer is found where the common bile duct passes through the pancreas and into the small intestine.

Extrahepatic Cholangiocarcinoma

Because perihilar and distal bile duct cancers start outside the liver, they are often grouped together and referred to as extrahepatic cholangiocarcinoma.

Stage your cancer

Based on the definitions of staging, located here, please select which stage you fit the most

diagnosis date
Hospital - Cancer Centre
Biomarkers 

Has biomarker testing been carried out? Also known as molecular profiling, genomic testing, tumor testing, or Next Generation Sequencing ("NGS") To learn more, click here.

Treatments

Please check ALL that apply to you

Marital Status
Do you have children?
Employment Status
Languages
Your support system
(Check all that apply to you)
How did you find out about Cholangio Connect?
Are there any particular issues you would like to discuss with your Mentor?
I understand that the information on this form with be shared with a CCF volunteer mentor.