Treatment of colon cancer with embolization or chemoembolization (program ID: 689359)
University Hospital Carl Gustav Carus Dresden
Jennifer LinnSpecialized in: diagnostic and interventional neuroradiology
Department of Diagnostic and Interventional Neuroradiology
- 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)
- 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.
- 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 Diagnostic and Interventional Neuroradiology at the University Hospital Carl Gustav Carus Dresden offers the full range of imaging diagnostics and minimally invasive therapy of diseases of the nervous system, including the brain, spinal cord, and peripheral nerves. The department is equipped with state-of-the-art CT and MRI systems, which allow the doctors to obtain the structural and functional information about the nervous system, as well as to examine the metabolic processes. The therapeutic options include the effective catheter procedures for the treatment of acute and chronic vascular diseases of the brain and spinal cord. The department is headed by Prof. Dr. med. Jennifer Linn.
The service range of the department includes:
- Diagnostic neuroradiology
- Magnetic resonance imaging (MRI)
- MR angiography
- Diffusion-weighted magnetic resonance imaging
- Susceptibility weighted imaging (SWI)
- MR spectroscopy
- Functional MRI
- Computed tomography (CT)
- CT angiography
- Perfusion CT
- CT with 3D reconstruction
- Diagnostic catheter angiography
- Conventional X-ray examinations
- Magnetic resonance imaging (MRI)
- Interventional neuroradiology
- Mechanical thrombectomy
- Aneurysm treatment
- Aneurysm coiling
- Aneurysm clipping
- Treatment of arteriovenous malformations
- Treatment of dural arteriovenous fistulas
- Carotid stenting
- Tumor embolization (especially head and neck tumors)
- Computed tomography-guided interventions
- Pain therapy in spinal pain
- Therapy in cerebrospinal fluid leak (liquorrhea) (blood patch procedure)
- Other diagnostic and therapeutic options
Prof Linn studied Human Medicine at the Saarland University and the Free University of Brussels. Jennifer Linn defended her doctoral thesis at the Institute of Neurology at the Technical University of Munich. In 2010, she was habilitated in Hemorrhagic Stroke, Ludwig Maximilian University of Munich.
Since October 9, 2014, Prof. Dr. med. Jennifer Linn has headed the Department of Diagnostic and Interventional Neuroradiology at the University Hospital Carl Gustav Carus Dresden. Prior to this, the Professor held the position of the Senior Physician in the Department of Neuroradiology and the Head of the Research Section at the University Hospital of Ludwig Maximilian University of Munich. Dr. Linn specializes in the early diagnostics of various types of stroke. Of particular interest to her are microangiopathies (diseases of the small blood vessels of the brain, which in many cases can lead to a stroke in the elderly, causing the hemorrhages and acute disorders of the cerebral circulation). The Head of the Department has repeatedly received scholarships of the German Research Foundation. Also her achievements include the Kurt Decker Prize of the German Society of Neuroradiology, the title of the Visiting Professor in the Department of Neuroradiology at the Johns Hopkins University in Baltimore.
Photo: (c) depositphotos
Accommodation in hospital
- Program [Description]
Treatment of colon cancer with embolization or chemoembolization
- Hospital: University Hospital Carl Gustav Carus Dresden
- access_time Duration:
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