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Treatment of colon cancer with embolization or chemoembolization (program ID: 689350)

University Hospital of Ludwig Maximilian University of Munich

location_on Munich, Germany
10/10 from 40 Votes
Specialized hospital
Jens Ricke

Head Physician
Prof. Dr. med.

Jens Ricke

Specialized in: adult and pediatric diagnostic, interventional radiology

Department of Adult and Pediatric Diagnostic, Interventional Radiology

Program includes:

  • Initial presentation in the hospital
  • Clinical history taking
  • Review of available medical records
  • Physical examination
  • Laboratory tests:
    • Complete blood count
    • General urine analysis
    • Biochemical analysis of blood
    • Tumor markers
    • Inflammation indicators (CRP, ESR)
    • Coagulogram
  • Ultrasound​ scan
  • CT scan / MRI
  • Preoperative care
  • Embolization or chemoembolization, 2 procedures
  • Symptomatic treatment
  • Cost of essential medicines
  • Nursing services
  • Elaboration of further recommendations

How program is carried out

During the first visit, the doctor will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan, CT scan and MRI. This will allow the doctor to determine which vessels are feeding the tumor and its metastases, as well as determine how well you will tolerate the procedure.

Chemoembolization begins with local anesthesia and catheterization of the femoral artery. The thin catheter is inserted through a few centimeters long incision of the blood vessel. The doctor gradually moves the catheter to the vessel feeding the primary tumor or its metastases. The procedure is carried out under visual control, an angiographic device is used for this. The vascular bed and the position of the catheter in it are displayed on the screen of the angiograph.

When the catheter reaches a suspected artery, a contrast agent is injected through it. Due to the introduction of the contrast agent, the doctor clearly sees the smallest vessels of the tumor and the surrounding healthy tissues on the screen of the angiograph. After that, he injects emboli into the tumor vessels through the same catheter.

Emboli are the spirals or the liquid microspheres. The type of embolus is selected individually, taking into account the diameter of the target vessel. When carrying out chemoembolization, a solution of a chemotherapy drug is additionally injected into the tumor vessel. Due to the subsequent closure of the vessel lumen with an embolus, the chemotherapy drug influences the tumor for a long time. In addition, the drug does not enter the systemic circulation, which allows doctors to use high doses of chemotherapeutic agents without the development of serious side effects. Chemoembolization leads to the destruction of the tumor or slowing down its progression.

After that, the catheter is removed from the artery. The doctor puts a vascular suture on the femoral artery and closes it with a sterile dressing. During chemoembolization, you will be awake. General anesthesia is not used, which significantly reduces the risks of the procedure and allows performing it on an outpatient basis, avoiding long hospital stay.

After the first procedure, you will stay under the supervision of an interventional oncologist and general practitioner. If necessary, you will receive symptomatic treatment. As a rule, a second chemoembolization procedure is performed in 3-5 days after the first one in order to consolidate the therapeutic effect. After that, you will receive recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • Esophagogastroduodenoscopy (EGD), MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)
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About the department

The Department of Adult and Pediatric Diagnostic, Interventional Radiology offers the full range of radiological examinations and imaging-guided interventions. The department has state-of-the-art CT, MRI, and angiography systems, some of which are used here for the first time in the world. The department has unique experience in identifying and treating metastatic pancreatic cancer. In addition, the department’s scope of tasks includes CT- and MRI-guided biopsy, various minimally invasive procedures for treating tumors and pain therapy. The Chief Physician of the department is Prof. Dr. med. Jens Ricke.

Medical care is provided both on an outpatient and inpatient basis. The specialists of the department regularly hold the interdisciplinary consultations for patients with vascular diseases, women with uterine myomas and men with prostate cancer. Within the consultations, optimal treatment strategies of the extremely severe clinical cases are developed.

Special attention should be paid to active research activities, which allows introducing into clinical practice innovative methods of diagnostics and therapy that save thousands of human lives. Of particular interest are the researches in the treatment of liver and lung metastases, urological and gynecological cancers.

The service range of the department includes:

Diagnostic radiology

  • Computed tomography (CT)
    • Oncological diseases
    • Cardiovascular diseases
    • Lung diseases
    • Emergency diagnostics
    • Imaging diagnostics of the central and peripheral nervous system
    • Imaging examinations of the skeleton
    • Other areas of application
  • Positron emission tomography (PET-CT)
    • Imaging of the processes in the human body at the cellular and molecular levels
    • Imaging of all body parts with high spatial resolution
  • Magnetic resonance imaging (MRI)
  • Conventional X-ray examinations
    • X-ray of the thoracic organs (for example, to detect pneumonia, pneumothorax, tumors and cardiovascular diseases)
    • X-ray of the abdominal organs (for example, in the case of intestinal obstruction or perforation of the abdominal organs)
    • X-ray of the musculoskeletal system (for example, in the case of osteoarthritis, tumors, fractures)
    • Determination of bone density (DXA) in osteoporosis
    • X-ray of paranasal sinuses and jaws (orthopantomogram)
    • 3D radiography
  • Fluoroscopy
    • Video fluoroscopy of the swallowing act
    • Examination of the esophagus with a contrast suspension of barium
    • Fluoroscopy in patients with ileostomy and colostomy
    • Tracheal fluoroscopy
    • Arthrography (contrast-enhanced imaging of joint cavities)
    • Myelography, intrathecal chemotherapy
  • Ultrasound examinations
  • Breast diagnostics
    • Mammography
    • Ultrasound examinations of the breast
    • Breast MRI
    • Galactography
  • Other diagnostic options

Interventional radiology

  • Brachytherapy
  • Selective internal radiation therapy for the treatment of liver tumors and metastases
  • Transcatheter chemoembolization for the treatment of liver tumors and metastases
  • Prostate artery embolization for the treatment of benign prostatic hyperplasia
  • Uterine artery embolization for the treatment of uterine myomas
  • Imaging-guided pain therapy
    • Periradicular infiltration
    • Facet joint blockade or infiltration
    • Sacroiliac joint blockade or infiltration
  • Other treatments

Vascular interventions

  • Treatment of arterial and venous stenoses and occlusions
    • Classic balloon angioplasty
    • Implantation of drug-coated balloon catheters
    • Implantation of classic stents and cylinders
    • Implantation of sealing ring stents
    • Atherectomy (removal of atherosclerotic plaques)
    • Mechanical thrombectomy (removal of blood clots)
    • Classic thrombolysis (blood clot dissolution)
    • Ultrasound thrombolysis
  • Treatment of aneurysms (stent implantation)
  • Therapeutic closure of blood vessels or endoleakages (embolization and implantation of spirals)
  • Implantation of venous catheters and port systems (for dialysis, chemotherapy or parenteral nutrition through ports or central venous catheters)
  • Renal artery radiofrequency ablation and renal artery denervation with badly regulated blood pressure
  • Implantations of filters in the inferior vena cava for the prevention of pulmonary embolism
  • Other vascular interventions

Pediatric radiology

  • Ultrasound examinations
  • Classic X-ray examinations
  • Fluoroscopy
  • Computed tomography (CT)
  • Magnetic resonance imaging (MRI)
  • Positron emission tomography (PET-CT)
  • Other diagnostic examinations in children

Curriculum vitae

  • 1985 - 1992 Study of Medicine at the Heinrich Heine University of Duesseldorf.
  • Scholar of the Steuben Schurz Research Society, Department of Medicine, University of California, Davis, USA.
  • 1992 Intern, Department of Surgery, District Hospital Grevenbroich.
  • 1992 - 2000 Intern and Research Fellow, Department of Radiotherapy, University Hospital Charite, Campus Virchow, Berlin.
  • 1993 Defense of doctoral thesis, University of Dusseldorf. Subject: "Results of the surgical treatment of esophageal cancer".
  • 1999 Medical Specialist in Radiology.
  • 1999 - 2006 Head of the Working Group on Digital Radiology, including telemedicine, data transmission and archiving systems, Department of Radiotherapy, University Hospital Charite, Campus Virchow, Berlin.
  • 2001 Habilitation and Venia Legendi, University Hospital Charite, Berlin.
  • 2001 - 2006 Leading Senior Physician, Department of Radiotherapy (Head: Prof. Dr. med. Dr. h.c. R. Felix), University Hospital Charite, Campus Virchow, Berlin.
  • 2004 - 2006 C3 Professor of Interventional Radiology, Department of Radiotherapy, University Hospital Charite, Berlin.
  • 2005 Invitation to the Department of Radiology, Otto von Guericke University in Magdeburg.
  • 2006 - 2017 Head of the Department of Radiology and Nuclear Medicine, Otto von Guericke University in Magdeburg.
  • Since 2017, Head of the Department of Radiology at the Ludwig Maximilian University of Munich, as well as the Chief Physician of the Department of Adult and Pediatric Diagnostic, Interventional Radiology.

Photo of the doctor: (c) LMU Klinikum 


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