google_counter
background_img

Treatment of colon cancer with embolization or chemoembolization (program ID: 689355)

University Hospital Marburg UKGM

location_on Marburg, Germany
8.17/10 from 18 Votes
Specialized hospital
Andreas Mahnken

Head Physician
Prof. Dr. med.

Andreas Mahnken

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)
Service
Price:
Type of program :
Expected duration of the program:

You may also book

Price:

About the department

The Department of Adult and Pediatric Diagnostic, Interventional Radiology at the University Hospital Marburg UKGM offers the full range of services in these fields and specializes in all modern radiological examinations, imaging-guided minimally invasive interventions. The department has advanced technical equipment, including specially adapted devices for examination in children. In the field of interventional radiology, of particular interest is minimally invasive treatment of oncological and vascular diseases. The department is headed by Prof. Dr. med Andreas Mahnken.

The service range of the department includes:

  • Diagnostic radiology
    • X-ray examinations
    • Ultrasound examinations
    • Fluoroscopy
    • Computed tomography (CT)
    • Magnetic resonance imaging (MRI)
    • Combined PET-CT method
  • Pediatric radiology
    • Ultrasound examinations
    • X-ray examinations
    • Fluoroscopy
    • Computed tomography (CT)
    • Magnetic resonance imaging (MRI)
    • Interventions in children (for example, radiofrequency ablation for the treatment of osteoid osteomas)
    • Interventional treatment of vascular malformations in children (hemangiomas and lymphangiomas)
  • Interventional radiology
    • Embolization and sclerotherapy for the treatment of vascular malformations
    • Cryoablation and cryotherapy for cancer and benign tumors
    • MRI-guided breast vacuum biopsy
    • Therapy of arteriovenous malformations (for example, embolization, installation of special metal coils)
    • Uterine artery embolization for the treatment of uterine myomas
    • Radiofrequency ablation and microwave ablation for the treatment of liver tumors
    • Radiofrequency ablation, cryotherapy and cryoablation for the treatment of osteoid osteomas
    • Prostate artery embolization for the treatment of benign prostatic hyperplasia
    • MRI-guided focal cryotherapy for prostate cancer treatment
    • Selective internal radiation therapy for the treatment of liver cancer and liver metastases
    • Transarterial chemoembolization for the treatment of liver cancer and liver metastases
    • Transjugular intrahepatic portosystemic shunting for portal hypertension treatment
    • Treatment of malignant tumors of the kidneys, liver, bones and lungs with the help of cryotherapy, radiofrequency and microwave ablation, irreversible electroporation
    • Sclerotherapy for varicocele treatment
    • Interventional therapy for chronic venous diseases
    • Placement of long-term venous catheters and port systems (for example, for chemotherapy)
  • Other diagnostic and therapeutic procedures in adults and children

Curriculum vitae

  • 05.1991 - 03.1993 Study of Human Medicine, Julius Maximilian University of Würzburg.
  • 04.1993 - 09.1994 Study of Human Medicine, Rhenish Friedrich Wilhelm University of Bonn.
  • 10.1994 - 03.1995 Study of Human Medicine, Karl Franzens University Graz.
  • 04.1995 - 04.1997 Study of Human Medicine and Economics, Rhenish Friedrich Wilhelm University of Bonn.
  • 04.2004 - 07.2006 Study of Health Administration Management, Osnabrueck University of Applied Sciences.
  • 10.2008 - 12.2012 Medical education, Ruprecht Karls University of Heidelberg.

Clinical Activities

  • Since 01.11.2012 Head of the Department of Adult and Pediatric Diagnostic, Interventional Radiology at the University Hospital Marburg.
  • 01.05.2010 - 31.10.2012 Leading Senior Physician and Deputy Head of the Department of Diagnostic and Interventional Radiology at the University Hospital Aachen.
  • 01.01.2006 - 31.10.2012 Leader of the Working Group on "Interventional Therapy Technologies" in the Department of Applied Medical Technology, Rhine-Westphalian Technical University Aachen.
  • 01.11.2004 - 30.04.2010 Senior Physician of the Department of Radiological Diagnostics, University Hospital Aachen.
  • 01.05.1999 - 31.10.2004 Assistant Physician of the Department of Radiological Diagnostics, University Hospital Aachen.
  • 01.06.1998 - 28.2.1999 Intern, Department of Urology, Robert Koch Clinic, Gehrden.
  • 01.06.1997 - 31.05.1998 Department of Surgery, Hegau Singen Clinic.

Academic Titles

  • Since 01.11.2012 Department of Radiology (W3 Professor), University Hospital Marburg.
  • 27.12.2010 Master of Medical Education (MME), Ruprecht Karls University of Heidelberg.
  • 14.04.2008 Visiting Professor, Rhine-Westphalian Technical University Aachen.
  • 07.07.2006 Master of Business Administration (MBA), Osnabrueck University of Applied Sciences.
  • 14.06.2004 Habilitation, Rhine-Westphalian Technical University Aachen.
  • 30.05.1997 Doctoral degree, Medical History Institute, Rhenish Friedrich Wilhelm University of Bonn.

Professional Qualifications

  • 23.08.2007 Additional qualification, Health Care Quality Management.
  • 06.08.2003 Theoretical foundations of radiation protection.
  • 28.07.2003 Vascular sonography of the abdominal cavity and retroperitoneal space.
  • 28.07.2003 Mammary gland sonography.
  • 16.07.2003 Medical Specialist in Diagnostic Radiology.
  • 25.01.2013 Additional training, Physician-Monitor for MPG examinations.
  • 26.11.2012 Lecturer in Interventional Radiology, DeGIR.
  • 11.02.2011 European Board of Interventional Radiology (EBIR).
  • 07.02.2011 Q3 Coach, cardiac CT and MRI (German Society of Radiology).
  • 03.05.2010  Interventional Radiology, DeGIR.
  • 07.04.2004 Total Quality Management (TQM) in accordance with EFQM.

Awards

  • 29.05.2014 Eugenia and Felix Wachsmann Prize.
  • 10.06.2009 CIRSE Foundation Education Grant.
  • 20.05.2009 Hermann Holthusen Award  (Hermann-Holthusen-Ring) of the German Society of Radiology.
  • 01.08.2007 Scholarship of the German Research Foundation (RSNA 2007).
  • 27.05.2006 Werner Porstmann Scholarship of the German Society of Radiology.
  • 05.05.2005 Walter Friedrich Prize of the German Society of Radiology.
  • 06.03.2005 ECR Foundation for Research and Education.
  • 20.05.2004 11th Coolidge Award.
  • 13.05.2004 Hans Langendorff Prize.

Memberships

  • German Society of Radiology.
  • German Society of Interventional Radiology.
  • European Society of Radiology.
  • European Society of Cardiovascular Radiology.
  • European Society of Cardiovascular and Interventional Surgery.
  • German Society of Neuroradiology.

Photo of the doctor: (c) UKGM - Universitätsklinikum Gießen und Marburg GmbH 


About hospital

Accommodation in hospital

There are 24 colon cancer treatment hospitals on Booking Health website

Show all clinics

Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.