Tuesday, 29 January 2013

Minimally invasive intervention for Liver Cancer

We recently performed superselective Trans Arterial Chemo Embolization (TACE) for liver cancer.  The patient was an elderly lady who had inoperable liver cancer. Using microcatheters (less than a millimeter diameter), we reached the arteries supplying the cancer.  The skin incision in the groin was less than 3 mm in size and no sutures were required. The chemotherapy agent(to kill cancer cells) was injected directly into the arteries supplying the cancer.  By this method, the general side effects seen with systemic chemotherapy will be markedly reduced. After the procedure, the patient needs to stay for a day or two for observation and can go back home. Regular monitoring of the cancer by CT scan is required to monitor shrinkage of the cancer. 
Hepatic Angiogram showing tumour vascularity
Selective chemo embolisation of tumour feeders
Post treatment CT showing selective uptake of agent within the tumour

Kauvery Hospitals

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