A Second Opinion from Expert Center is Crucial for Liver Mts Surgery

Marina Virko
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The National Center for Tumor Diseases in Dresden (NCT/UCC) at the University Hospital Carl Gustav Carus Dresden says that colorectal cancer patients with pancreatic metastases should not delay requesting a second opinion from a major expert center.

Metastases are often more dangerous than the primary tumor. They cause the majority of cancer patient deaths. Half of  colorectal cancer cases metastasize. These secondary tumors develop mostly in the liver which filters all blood coming from the stomach.  

If the metastases can be removed by surgery, about 40 percent of patients have at least five-year survival chances. Otherwise the five-year survival rate is less than 10 percent.

Surgery and combined procedures in pancreatic metastases treatment have developed sufficiently in the last years, but not all affected patients can benefit from them.

In order to make sure that no other therapies are available patients must engage the outstanding  experience and knowledge of major cancer centers.

In Germany there are specialized surgery centers that are very successful in treating liver metastases.

Modern techniques make it possible to expand the scope of surgery. Even if metastases have spread to both liver lobes, it does not exclude the possibility of an operation. Another therapeutic option is, for example, the replacement of major blood vessels using the body’s own tissues – a complex surgical procedure requiring great experience. Such operation can remove up to 80 percent of the initial liver volume without damaging the vital liver functions. After that the organ can grow up to its pre-op size.

When liver metastases are detected, surgery can be performed immediately in about 25-30 percent of patients, and often it can be a minimally invasive procedure. In another 12 to 28 percent of patients chemotherapy can reduce the initially inoperable liver metastases to the size which allows for a surgical removal.

Patients beginning their treatment at a clinic other than a major center should request a second opinion as soon as possible. “In any case it is better to ask more questions than too few”, - says Prof.Jürgen Weitz, Head of the Department of Visceral, Thoracic and Vascular Surgery and board member of the National Center for Tumor Diseases in Dresden (NCT/UCC).

It may not be necessary to set off on a long and exhausting journey just at once.  Only if the second opinion proves that an operation is possible a patient should come for it in person.


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Каким способом удаляют в Германии метастазы печени?

Marina Virko

Хирурги, специализирующиеся на оперативном лечении печени, применяют как исключительно хирургические методы, так и комбинированные. Стандартным хирургическим методом является резекция метастазов как правило на ранней стадии их образования или резекция печени. Альтернативно при условии выявления очень небольшого количества очагов в печени небольших размеров применяются локальные методы лечения: криотерапия (воздействие экстремально низкими температурами), лазерная коагуляция, радиочастотная абляция, чрескожные инъекции этанолом.

Please avoid self-diagnosis and self-medication!

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