On 2/6/2007
Vishu wrote:
Hi all,
My father is suffering from liver cancer last month on 11.01.2006 his tumors in Seg.IV & VI were ablated by RFA (Radio Frequency Ablation) and now he is having tumor of around 2.3 cms in Seg. VII which has also spread in Seg. IV around 1.8 cms . Doctors are saying this time RFA is not possible as the tumor is very near to lungs . My questions are :
1. Whether RFA is possible ?
2. If not whether we should go for Therashpere treatment ( TARE ) of Chemoembolization (TACE) , his liver functions are elevated albumin < 3 & biliburin > 2.7 and is also having Hep. B and Liver Cirrhosis
Please advice
I also had a RFA on a lesion, the other two were close or under the lung. When you are under aenesthetic the lung is inflated so difficult to get to the others. The top man at Kings College was not keen on TACE, he
said it was not always successful + risk of drawing 'spores' back when the needle
pulled out, unlike RFA necrosis is not instant with TACE.
I/we opted for a laproscopic approach from the side where the cavity would be inflated allowin the liver to fall to the bottom where the work could be
done. Unfortunately it was found that another 3 tumours had appeared, so we went ahead with a laproscopic re-section of the right lobe.