6 doctors weighed in:

Is there a reason to consider chemoembolization when a person has advanced cirrhosis, hepatitis C and blood clotting problems? Radiation has already been ruled out because of the location of the tumor on the liver. What we have read is that patients with

6 doctors weighed in
Dr. Eric Chen
Radiology
2 doctors agree

In brief: Chemoembolization

Chemoembolization is one of the many weapons we have to fight liver tumors.
Advanced cirrhosis, hep c, and blood clotting problems are not in themselves contraindications for this procedure (although certain lab values such as bilirubin and inr/ platelets must be within a suitable range). You should discuss with an interventional oncologist to see whether it would be suitable for you.

In brief: Chemoembolization

Chemoembolization is one of the many weapons we have to fight liver tumors.
Advanced cirrhosis, hep c, and blood clotting problems are not in themselves contraindications for this procedure (although certain lab values such as bilirubin and inr/ platelets must be within a suitable range). You should discuss with an interventional oncologist to see whether it would be suitable for you.
Dr. Eric Chen
Dr. Eric Chen
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Dr. Christopher Oxner
Surgery - Oncology
2 doctors agree

In brief: Possibly

Difficult to answer not knowing the details of the tumor, location, size, etc.
But there is a role for chemoemboliztion to slow growth, potentially palliate, or even bridge to transplant. It is reasonable to ask your treating medical and surgical oncologist about the different options and their outcomes for treatment.

In brief: Possibly

Difficult to answer not knowing the details of the tumor, location, size, etc.
But there is a role for chemoemboliztion to slow growth, potentially palliate, or even bridge to transplant. It is reasonable to ask your treating medical and surgical oncologist about the different options and their outcomes for treatment.
Dr. Christopher Oxner
Dr. Christopher Oxner
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Dr. Robert Andrews
Radiology - Interventional
1 doctor agrees

In brief: Chemoembolization

Chemoembolization is a good option for patients who are not candidates for other therapies, but it is not a good choice when liver function is poor. In general, we don't do chemoembolization in patients with bilirubin levels above 3.
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.

In brief: Chemoembolization

Chemoembolization is a good option for patients who are not candidates for other therapies, but it is not a good choice when liver function is poor. In general, we don't do chemoembolization in patients with bilirubin levels above 3.
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.
Dr. Robert Andrews
Dr. Robert Andrews
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