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Treatments


Hepatocellular cancer has a wide variety of different treatments that can be used individually or in combination with other treatments to produce the best outcome for your specific cancer. That's why careful diagnosis and staging are so important. Your specialist will explain your treatment choices, how successful they expect them to be, and the risks and side effects with each option.

  • Surgery

    Surgery is performed for primary tumors that start in the liver and secondary tumors (called metastatic) that have traveled to the liver from a different organ such as the colon, lung, or breast.

    • Partial hepatectomy: This procedure removes part of your liver. The remaining liver tissue functions as if it were whole and will regrow in most cases to the size of the original liver.

    • Staged partial hepatectomy: For large or multiple tumors, this surgery can be performed in two stages. A multidisciplinary team that includes a surgeon and an interventional radiologist works together. 

    • Liver transplantation: For certain patients with primary liver cancer that originated in the liver (and is confined to the liver) your surgeon may recommend removing the whole liver and replacing it with a healthy donor liver.   
       
  • Ablation

    When surgery may be too risky, ablation uses different techniques to destroy abnormal liver tissue, including:

    • Radiofrequency ablation: High-energy radio waves heat the tumor, killing cancer cells.

    • Ethanol (alcohol) ablation: Concentrated alcohol is injected into the tumor to kill cancer cells. This procedure is also known as percutaneous ethanol injection (PEI).

    • Microwave ablation: Microwaves are applied directly to the tumor, producing heat that damages/kills cancer cells, or makes them more responsive to radiation or medical therapy.

    • Cryoablation: Freezes and destroys cancer cells under ultrasound guidance.
  • Embolization 

    Embolization is an option for some patients whose larger tumors cannot be removed by surgery or ablation. Embolization tries to block or reduce the blood flow to cancer cells in the liver.

    • Chemoembolization: Delivers concentrated chemotherapeutic drug(s) to the tumor along with a blood vessel blocking agent, starving the tumor of its blood supply.

    • Radioembolization: Similar to chemoembolization but with radiation instead of drugs.

    • Portal vein embolization: Often used for borderline liver resection candidates. The blood supply is blocked on one side of the tumor, allowing the other side to grow to a fully functional size for surgery.

  • Radiation Therapy 

    Advanced technology tools working for you include RapidArc®, an external beam (delivered from a machine outside the body) technology delivering intensity modulated radiation therapy (IMRT). IMRT shortens treatment times to one-half to one-eighth that of conventional radiation therapy, resulting in better tumor targeting and less damage to healthy tissue.

  • Chemotherapy (Systemic Medical Therapy)

    Chemotherapy can be administered intravenously (infusion needle) or by a pill and is usually a combination of cancer-fighting drugs. Chemotherapy is also sometimes given to surgical patients, after the procedure, to eliminate remaining cancer cells and reduce the chances that cancer will return.

    • If you require infusion chemotherapy, you can receive it at the Comprehensive Treatment Unit (CTU) at Sylvester's main location in Miami. It's a 12,000-square-foot unit that includes 33 recliners and 11 private rooms. Or, you can also have your infusion treatments at the Kendall, Plantation, Hollywood, Coral Springs, or Deerfield Beach locations.     

  • Targeted Therapy 

    These treatments are designed to attack the molecular changes that make cancer cells grow and spread. Some of these medicines are given along with other chemotherapy medicines, while others are used individually. The purpose is to prevent cancer from growing and spreading. It may also be used to help chemotherapy get inside the tumor and be more effective.