0, baseline encephalopathy
, or ast
or alt levels above 100 (unless the patient has hepatitis
, in which case 100 is not too bad). Blood clotting issues are usually correctable and should not impact the plan to do chemoembolization.
Chemoembolization is not considered curative, but rather palliative. That means that it slows the tumor down, which may help to keep the patient within acceptable limits for transplantation
External beam radiation is not usually used in liver cancer
because the normal liver is more sensitive to radiation than the tumor is. On the other hand, it is often possible to do internal radiation with a technique called selective internal radiation therapy
(sirt), also known as radioisotope embolization. This technique can be used in patients with very compromized liver function and appears to be very effective.
Here are the names and phone numbers of two doctors in arizona who use the sirt technique:
charles k. Raker, md - (602) 239-4622
phoenix, az - dept of radiology
banner good samaritan hospital
william j. Romano, md, fsir - (480) 440-9784
phoenix, az - mdig/vip.