☆ What kind of hepatocellular carcinoma is preferred to TACE treatment?
TACE therapy is preferred for hepatocellular carcinoma with large lesions, invasion of large blood vessels in the hepatic hilum, poor liver function, difficulty in compensating liver function after surgery, and multiple lesions that cannot be removed in one surgery.
☆ What is the principle of action of TACE therapy for liver cancer? How to operate?
TACE therapy is based on the principle that 90% of the blood supply of primary hepatocellular carcinoma comes from the hepatic artery, which can cause necrosis of tumor cells after embolization by interventional therapy. It is usually performed under local anesthesia through the femoral artery, superselected to the hepatic artery and the vessels supplying the tumor, and can be accompanied by chemotherapy drugs.
☆ What is the effect of TACE treatment alone?
The effect of TACE alone varies greatly among individuals. Generally speaking, the effect is better for hepatocellular carcinoma with rich arterial blood supply, but less effective for cholangiocarcinoma.
☆ How many times should TACE treatment be done? What is the frequency?
For inoperable hepatocellular carcinoma patients, TACE is usually done three times first.
TACE is usually performed once a month.
☆ What kind of people have the best results with TACE treatment?
The best results are achieved for hepatocellular carcinoma with rich arterial blood supply.
☆ Will the liver mass disappear after TACE?
Some patients can achieve complete cure after TACE.
☆ What kind of condition has unsatisfactory effect after TACE? If there is portal vein around the cancer mass, the tumor is not rich in blood supply.
For those whose tumor is not rich in arterial blood supply such as bile duct cell carcinoma, metastatic liver cancer, the effect of TACE is not satisfactory.
☆ Which conditions cannot be treated by TACE?
If the systemic condition is poor, liver function is too poor, such as the presence of large amount of ascites, significant jaundice and other conditions are not suitable for TACE.
☆ Can TACE treatment for hepatocellular carcinoma be combined with chemotherapy and surgery?
Some giant hepatocellular carcinoma can be given a second chance for surgery after TACE, and TACE can be combined with chemotherapy at the same time.
☆ Should TACE treatment for liver cancer be combined with other methods, such as radiofrequency, microwave, etc.? Which hepatocellular carcinoma can be treated?
Currently, TACE combined with other local radiofrequency and microwave treatments are recommended for multiple hepatocellular carcinomas.
☆ Does TACE treatment for liver cancer require general anesthesia?
TACE can be performed under local anesthesia.
☆ Does TACE treatment for liver cancer need to be performed under X-ray?
No. TACE is performed under DSA, so radiation is required.
☆ How does the radiation exposure of TACE treatment under X-ray compare with that of CT, etc.?
Generally speaking, TACE patients are exposed to more radiation than general CT.
☆ What are the complications after TACE treatment for liver cancer? How to avoid and deal with them?
The main complications after TACE include nausea, vomiting, fever, abdominal pain and other symptoms, which are usually treated symptomatically such as anti-emetic and anti-pain.
☆ Is the liver injury caused by TACE treatment transient or long-term?
The liver operation caused by TACE treatment is usually not transient.
☆ What are the natural complications that may occur in disease progression but are more frequent after TACE therapy?
Liver function impairment and hepatic artery stenosis are complications that occur more often after TACE treatment.
☆ If I stop treatment for a period of time and a relapse occurs, can I still do TACE?
If you stop treatment for a period of time and a recurrence occurs, you can still have TACE treatment.
☆ Besides relapse, in what cases do I need TACE again?
In addition to relapse, TACE treatment is needed again for those who have poor results with the first TACE treatment.