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A combination chemotherapy regimen consisting of gemcitabine and continuous infusion 5-fluorouracil (5-FU) administered concurrently with radiation therapy. This specific protocol, evaluated by the University of Utah, is designed for patients with locally advanced, unresectable intrahepatic or extrahepatic cholangiocarcinoma. Gemcitabine acts as both a cytotoxic nucleoside analog and a potent radiosensitizer, while 5-FU provides synergistic antineoplastic activity. The treatment involves external beam radiation therapy followed by a high-dose-rate brachytherapy or stereotactic body radiation therapy (SBRT) boost to maximize local tumor control.
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