Successful management of inoperable klatskin's tumour by high dose intra luminal brachytherapy without the need for post radiation stenting

We present a case of Klatskin's tumour managed by high dose Intra Luminal Brachytherapy without the need for post radiation stenting. We achieved significant reduction in the cost of treatment and avoided complications associated with stenting. We were able to attain a symptom and disease free survival period of 30 months till the patient finally succumbed to metastatic peritoneal disease. We assume that small Klatskin's tumours as in the presented case with a size less than 3 cms when subjected to high dose Intra Luminal Brachytherapy with the help of 3D computed planning ensuring good tumour coverage may not require post radiation assisted biliary drainage.