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Treatment of colon cancer with embolization or chemoembolization (program ID: 689354)

University Hospital Heidelberg

location_on Heidelberg, Germany
9.8/10 from 57 Votes
Specialized hospital
Hans-Ulrich Kauczor

Head Physician
Prof. Dr. med.

Hans-Ulrich Kauczor

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 at the University Hospital Heidelberg offers the full range of services in these medical fields. It conducts all modern radiological examinations and imaging-guided minimally invasive interventions for the treatment of various benign and malignant diseases. A feature of the department is imaging diagnostics in children and adolescents. There are specially adapted devices with minimal irradiation for this purpose. The Chief Physician of the department is Prof. Dr. med. Hans-Ulrich Kauczor.

The work of the department is based on the picture archiving and communication system, which allows the doctors to save patients’ examination results and provide access to the specialists from other departments of the hospital.

The medical staff of the department consists of the best professionals in their field, who have been educated at the prestigious universities in Germany, Europe and America. The specialists of the department regularly undergo advanced training courses, so they are keeping abreast of the very latest scientific achievements in medicine. In addition, many doctors are actively involved in the department’s research activities.

The service range of the department includes:

Diagnostic radiology

  • Angiography and digital subtraction angiography
  • Computed tomography
  • Magnetic resonance imaging
  • Fluoroscopy
  • Mammography
  • MR mammography
  • Tomosynthesis
  • Galactography
  • Combined PET-CT examination method (in collaboration with the Department of Nuclear Medicine)
  • Conventional X-ray examinations
  • Sonography (echography, ultrasound examinations) and color doppler/duplex sonography
  • Other diagnostic methods

Pediatric radiology

  • X-ray examinations
  • Ultrasound examinations
  • Magnetic resonance imaging
  • Other diagnostic examinations in children

Interventional radiology

  • All vascular interventions (except for heart and brain vessels)
    • Balloon catheter implantation
    • Balloon dilatation
    • Angioplasty
    • Stent implantation
  • Interventional procedures for the treatment of tumors of the liver, musculoskeletal system (bones), kidneys, and blood vessels
    • Radiofrequency ablation
    • Selective internal radiation therapy
    • Transarterial chemoembolization
  • Uterine artery embolization for the treatment of uterine myomas
  • All emergency imaging-guided interventions (for example, closing of vessels in acute haemorrhage and blood clot removal; except for heart and brain vessels)
  • Transjugular intrahepatic portosystemic shunting for the treatment of severe portal hypertension
  • Imaging-guided biopsy (for example, bone tissue biopsy, vacuum and puncture breast biopsy)
  • Other interventional procedures

Curriculum vitae

  • 1983 - 1989 Study of Medicine at the University of Bonn (Germany), Internship, University of Heidelberg, (Germany), Final Medical Examination (Doctor of Medicine).
  • 1989 - 1994 Residency in Radiology, German Cancer Research Center (DKFZ) Heidelberg and University of Mainz, Germany, Board Certification for Diagnostic Radiology.
  • 1994 - 1995 Fellowship, Department of Radiology, University of Mainz, Germany.
  • 1996 - 1998 Assistant Professor, Department of Radiology, University of Mainz, Germany.
  • 1998 Postdoctoral Qualification as University Lecturer at the University of Mainz "Functional Imaging of Lung Ventilation using CT and MRI".
  • 1998 - 2002 Assistant Professor in the Department of Radiology, University of Mainz, Germany.
  • 2003 - 2010 Member of the Board of Managing Directors of the Comprehensive Cancer Center Heidelberg, Germany.
  • 2003 - 2008 Full Professor for Radiology, Head of the Department of Radiology at the German Cancer Research Center (DKFZ), Heidelberg, Germany.
  • Since 2008, Full Professor and Head of the Department of Adult and Pediatric Diagnostic, Interventional Radiology at the University at the University Hospital Heidelberg.
  • Since 2012 Principal Investigator of the Translational Lung Research Center Heidelberg (TLRC) and the German Center for Lung Research (DZL).

Awards and Honors

  • 1992 Award of the German Society of Radiology.
  • 1995 Award of the European Society of Thoracic Imaging.
  • 1999 Boehringer Ingelheim Award.
  • 1999 Colloquia Academica of the Academy of Science of Literature Mainz.
  • 2000 Holthusen-Ring of the German Society of Radiology (DRG).
  • 2001 Award of the Society of Thoracic Radiology.
  • 2007 Kuhrt-Robb Award for the Distinguished Scholar of the Memorial Sloan Kettering Cancer Center, New York.
  • 2012 Visiting Professor, Medical College of the Qingdao University, China.

Photo: (с) depositphotos 


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