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Treatment of colon cancer with embolization or chemoembolization (program ID: 689346)

University Hospital Ulm

location_on Ulm, Germany
8.7/10 from 83 Votes
Specialized hospital
Meinrad Beer

Head Physician
Prof. Dr. med.

Meinrad Beer

Specialized in: adult and pediatric diagnostic, interventional radiology, neuroradiology

Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology

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, Neuroradiology at the University Hospital Ulm offers the  full range of modern radiological studies and imaging-guided minimally invasive therapy for the treatment of various diseases. Of particular interest to the experienced medical team of the department is individual minimally invasive therapy of oncological diseases, treatment of pain syndromes and vascular pathology. The department works in close cooperation with all other departments of the hospital, thereby providing interdisciplinary, comprehensive medical care at the highest level of university medicine. The Chief Physician of the department is Prof. Dr. med. Meinrad Beer.

A unique feature of the department is the radiological diagnostics of children of all age groups, ranging from premature babies and infants to adolescents under the age of 18 years. The department has special advanced equipment for accurate diagnosis in children. All devices work in such a way that the child receives the minimal dose of radiation, and there is no harm for a young growing organism. Also, an important role for the successful diagnosis of children is played by the rich experience and high professionalism of the department’s doctors specializing in pediatric radiological diagnostics.

The service range of the department includes:

Diagnostic radiology

  • General radiological studies
    • Conventional  radiography
    • Computed tomography (CT)
    • Magnetic resonance imaging (MRI)
    • Sonography
    • Fluoroscopy
    • Angiography
    • Mammography
  • Special radiological studies
    • CT colonography (modern non-invasive method for colon examination)
    • Measurement of iron levels in the liver with MRI
    • Cardiac CT and MRI
    • Stereotactic vacuum-assisted breast biopsy
  • Other diagnostic options

Pediatric radiology

  • Ultrasound examinations
  • Radiography
  • MRI
  • CT
  • Other diagnostic tests

Neuroradiology

  • Magnetic resonance imaging (MRI)
    • Prenatal magnetic resonance imaging
    • High-field 3 Tesla MRI
    • Magnetic resonance angiography
    • Diffusion tensor imaging
    • Functional MRI
    • Other studies
  • Computed tomography
    • CT angiography
    • Surgery planning
    • Surgery planning with CT
    • Perfusion computed tomography
    • CT myelography
    • CT-guided facet joint infiltration
    • Other services
  • Angiography (diagnosis and treatment of vascular diseases, vascular malformations)
    • Implantation of stents in the carotid artery
    • Intra-arterial lysis therapy
    • Local intravenous lysis in cerebral thrombosis
    • Other services

Interventional radiology

  • Angiography
  • Minimally invasive cancer therapy
    • Catheter-assisted treatments (transarterial chemoembolization, selective internal radiation therapy)
    • CT-guided  introduction of probes during thermoablation, radiofrequency, microwave ablation, cryoablation
  • Imaging-guided punctures and drainages
  • CT-guided pain therapy
  • Breast biopsy
  • Other services

Curriculum vitae

  • 1988 - 1995 Study of Human Medicine and Philosophy at the Universities of Regensburg and Würzburg.
  • 1995 - 2003 Fellow and Assistant Physician at the Institute of X-ray Diagnostics of the University Hospital Würzburg.
  • 2003 - 2007 Senior Physician, specialization: imaging of the cardiovascular system, cancer imaging and pediatric radiology, Institute of X-ray Diagnostics of the University Hospital Würzburg.
  • 2007 - 2012 Leading Senior Physician and Head of the Section of Pediatric Radiology, Institute of X-ray Diagnostics, University Hospital Würzburg.
  • 2009 Invitation to the position of W3 Professor in the field of Radiology, University Hospital Göttingen (refusal).
  • 2009 - 2012 Professor of Radiology, Julius Maximilian University of Würzburg.
  • 2012 Invitation to the position of Professor in the field of Pediatric Radiology, Medical University of Graz.
  • 2012 - 2013 Chief Physician of the clinical Department of pediatric Radiology, University Hospital Graz.
  • 2013 Invitation to the position of W3 Professor of Radiology, University of Ulm.
  • Since 2013, Head of the Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology at the University Hospital Ulm.

Qualifications

  • Medical Specialist in Diagnostic Radiology.
  • Advanced training in the specialty: Pediatric Radiology.
  • Permission for advanced training in Diagnostic Radiology.
  • Permission for advanced training in Pediatric Radiology.
  • DEGUM Instructor, Level II.

Photo of the doctor: (c) Universitätsklinikum Ulm 


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