Electrocautery treatment for liver tumors?
Hello Dr.
Lai: My elder brother is 68 years old and has hepatitis C and mild cirrhosis.
A few months ago, an ultrasound examination revealed three tumors (3.1, 2.2, and 1.8 cm).
The doctor mentioned that radiofrequency ablation could be used for treatment.
Could you please let me know which hospital in the Greater Taichung area has bi-polar radiofrequency ablation equipment? Thank you.
Liu Xiansheng, 60~69 year old female. Ask Date: 2017/03/20
Dr. Lai Yicheng reply Oncology
Hello Mr.
Liu: Regarding your inquiry about which hospital in the Greater Taichung area has Bi-polar radiofrequency ablation equipment, generally, all medical centers are equipped with this technology.
Our Changhua Hospital also has specialists who perform this procedure.
If you need further assistance, you are welcome to visit our hospital for consultation.
Thank you for your inquiry.
Dr.
Lai Yi-Cheng, Department of Radiation Oncology, Changhua Hospital
Reply Date: 2017/03/20
More Info
Radiofrequency Ablation (RFA) is a minimally invasive procedure used to treat liver tumors, particularly in patients with conditions such as hepatitis C and mild cirrhosis. It utilizes heat generated by radiofrequency waves to destroy cancerous cells. In the case of your brother, who has three tumors measuring 3.1 cm, 2.2 cm, and 1.8 cm, RFA can be a suitable treatment option, especially given his underlying liver condition.
In Taichung, several hospitals are equipped with advanced RFA technology, including bipolar radiofrequency ablation systems. Bipolar RFA is advantageous as it allows for more precise targeting of tumors while minimizing damage to surrounding healthy tissue. This is particularly important in patients with liver disease, where preserving liver function is crucial.
When considering treatment options, it is essential to consult with a hepatologist or an oncologist who specializes in liver cancer. They can provide a comprehensive evaluation of your brother's condition, including the size and location of the tumors, liver function tests, and overall health status. This assessment will help determine the most appropriate treatment plan.
In Taichung, hospitals such as Taichung Veterans General Hospital and Chung Shan Medical University Hospital are known for their advanced cancer treatment facilities and may offer RFA services. It is advisable to contact these institutions directly to inquire about their specific capabilities regarding bipolar RFA and to schedule a consultation.
In addition to RFA, other treatment options may be considered based on your brother's overall health and the characteristics of the tumors. These options include:
1. Transarterial Chemoembolization (TACE): This procedure involves delivering chemotherapy directly to the tumor while blocking its blood supply. It is often used for larger tumors or when multiple tumors are present.
2. Surgical Resection: If the tumors are localized and the patient's liver function is adequate, surgical removal of the tumors may be an option. However, this is typically reserved for patients without significant liver disease.
3. Liver Transplantation: In select cases, if the tumors meet specific criteria and the patient has significant liver disease, transplantation may be considered.
4. Systemic Therapy: Depending on the tumor characteristics, targeted therapies or immunotherapy may be options, especially if the cancer is advanced or has spread beyond the liver.
In conclusion, RFA is a viable treatment option for your brother's liver tumors, and several hospitals in Taichung are equipped to perform this procedure. It is crucial to have a thorough discussion with healthcare professionals to explore all available treatment options and to tailor the approach to your brother's specific medical needs. Regular follow-up and monitoring will also be essential to assess the effectiveness of the chosen treatment and to manage any potential complications.
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