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Liver cancer is one of the leading causes of death in Thailand. It is more common in male than female. Causes of liver cancer are hepatitis B and C infection and.
Table of contents
Patients who are unsuitable may be due to lack of time needed for successful outcomes of surgery, or being physically unfit for surgery. Luckily in the past 20 years there have been significant developments in the medical community with regards to cancer care. This includes developments in ablation, chemotherapy, and medication. In the past 5 years there have been attempts to develop non-surgical treatments that offer the same benefits as surgery. This includes brachytherapy with the assistance of x-rays and ultrasound. Once the medical device is inserted in the desired position, your doctor may decide to provide other treatment methods such as RF Ablation.
Radiofrequency ablation for cancer is a minimally invasive procedure that uses electrical energy and heat to destroy cancer cells. During radiofrequency ablation for cancer, imaging tests are used to guide a thin needle through the skin or through an incision and into the cancer tissue. High-frequency energy passes through the needle and causes the surrounding tissue to heat up, killing the nearby cells.
RF is used for tumors in the liver that are no larger than 4 centimeters, and number less than 4 at a time, it can also be applied to tumors in the lung that are no larger than 3 centimeters. Furthermore, in cases where surgery is preferably avoided RF ablation can be used to treat tumors in the kidney, endocrine gland, and bone. Liver cancer or tumor often makes it difficult for surgery, as there are numerous complications that may occur such as cirrhosis or hepatitis. Most effective treatments involve insertion of chemotherapy medication intravenously.
Presently treatments of tumors smaller than centimeters that are inoperable are done through RF ablation. RF ablation is a treatment that uses imaging guidance to place a needle electrode through the skin into a liver tumor. High-frequency electrical currents are passed through the electrode, creating heat that destroys the cancer cells.
At degrees Celsius, the procedure should take approximately minutes depending on size and quantity of tumor. The advantage of RF ablation is that it does not require surgery, and very small amounts of medication such as low quantities of anesthesia. Today it is used to treat liver cancer, or cancers that have spread to the liver, and lung cancer. RF Ablation at Wattanosoth Hospital is provided by specialized radiologist, oncologists, and doctors specialized in Gastroenterology. If surgical treatment and RF ablation are considered to be ineffective a TOCE may be considered, this refers to transcatheter arterial chemoembolization and involved the use of a catheter.
Patients are recommended to avoid eating at least 4 hours prior to receiving a blood test to determine liver function and coagulation.
During treatment an IV catheter, sedatives, and antibiotics may be administered to the patient. Please inform your healthcare provider if you have any medical allergies. Treatment is often painless as such anesthesia is not required, however patients may request painkillers or sleeping pills. The patient will be sent to a hygienic test lab to receive a vascular X-ray. Your doctor will then administer anesthesia through the right groin utilizing a small catheter less than 2mm. A special substance is then injected which can help to decrease the size of the tumor.
Anticoagulants are then administered to reduce the amount of blood nutrients and oxygen that are supporting the tumor. Once completed, the catheter will be pulled out and pressure will be applied to the wound for approximately 10 minutes. As the wound is very small it will not require any stitches. Patients will be recommended to remain in bed and extend the leg which received the catheter for a period of 6 hours. Patients will be allowed to eat and drink as long as this does not cause nausea or vomiting.
During these 6 hours any urination or defecation will have to occur on the bed, furthermore your nurse will change your bandages the next day. If the patient experiences pain around the catheter entry site or abdominal pain please inform the nurse.
Some patients may experience significant nausea; however this can be treated with medication. This method is relatively safe and poses minimal complications. However, most symptoms will subside within a week. On average it takes approximately 2 sessions a month apart. During the second session an x-ray will be performed to determine if alternative treatments such as RF Ablation are required. Treatment with Radioembolization is a relatively new technique for liver cancer which has spread into the veins.
Radioeembolization or SIRT Selective Internal Radiation Therapy is considered a relatively expensive procedure due to the cost of pharmaceuticals and equipment imported from abroad. Furthermore, the process if more complicated than TOCE specifically with regards to the injection and side-effects. Side-effects may include abdominal pain, nausea, and vomiting in the days after treatment. Although treatment results may be similar to TOCE, this method allows for treatment of cancer which has already spread to the veins. All About Cancer. Blood in the hepatic artery comes from the heart and carries oxygen, while blood in the portal vein comes from the stomach and carries nutrients and substances such as medicines or alcohol to the liver.
Unlike other internal organs, a healthy liver can usually repair itself if injured. It can continue to function even when only a small part is working and may grow back to its normal size in 6—8 weeks. Bile is made in the liver and stored in the gall bladder. A series of tubes called bile ducts carry bile between the liver and gall bladder. The common bile duct carries bile from the liver and gall bladder to the bowel, where it helps to break down fats. Call or email our experienced cancer nurses for information and support.
Contact a cancer nurse. Cancer Council Victoria would like to acknowledge the traditional custodians of the land on which we live and work. We would also like to pay respect to the elders past and present and extend that respect to all other Aboriginal people. Children, teens and young adults. Aboriginal communities. Life after treatment. Sexuality and intimacy. Facing end of life.
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Liver cancer rates: both sexes
Community health. Clinical practice guides. Resources for dietitians. Leave a gift in your Will. Become a corporate supporter. Shop online. Culturally diverse communities. Home Cancer information Types of cancer Liver cancer. The liver The liver is the largest organ inside the body.
The liver does many important jobs. These include: breaking down drugs and alcohol, and getting rid of toxins producing bile to help dissolve fat so it can be easily digested storing and releasing sugars glucose as needed storing nutrients making proteins to help blood clot and to balance fluid in the body.
Liver cancer overview. Secondary liver cancer. Managing Symptoms. After liver cancer surgery. Cancer information.
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