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 |
