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This management guide covers the risk factors, symptoms, diagnosis, staging, and treatment of liver, gallbladder, and biliary tract cancers using radiation, surgery, and medical treatment.
With many centers seeking to adopt IORT, there are licensing, proctoring, staffing, technical support, and reimbursement issues that need to be considered. We have reviewed the current international experience and describe one community cancer center’s experience with initiating an IORT breast cancer program.
For independent physician practices, the realities of overhead expenses, time available for patient care, and regulatory requirements can only be assessed when the specific requirements for reporting and reimbursement are clear.
The combined-modality care of the patient with colon or rectal cancer metastatic to the liver demands a team approach. It is little wonder that there is much confusion about this topic, given the number of unique treatment options that are delivered in a sequential and reiterative process. The concept of multidisciplinary approaches to complex cancer challenges has been adopted for a variety of tumor types and situations.
Tremendous gains have been made regarding the treatment of breast
cancer. The combination of chemotherapy, radiation therapy, and surgery
have vastly improved patient course. Hepatic manifestations of
metastatic breast cancer are extremely difficult to treat. Traditionally,
chemotherapy and hormonal treatment of hepatic metastases of breast
carcinoma have not significantly improved survival. For patients with
breast cancer metastases isolated to the liver, operative treatment is
increasingly being used to prolong life and disease-free intervals. This
article reviews the use of surgery for treatment of isolated breast cancer
metastases to the liver.
Tremendous gains have been made regarding the treatment of breast
cancer. The combination of chemotherapy, radiation therapy, and surgery
have vastly improved patient course. Hepatic manifestations of
metastatic breast cancer are extremely difficult to treat. Traditionally,
chemotherapy and hormonal treatment of hepatic metastases of breast
carcinoma have not significantly improved survival. For patients with
breast cancer metastases isolated to the liver, operative treatment is
increasingly being used to prolong life and disease-free intervals. This
article reviews the use of surgery for treatment of isolated breast cancer
metastases to the liver.
Dr. Kozuch and coauthors have
written a comprehensive review
of gallbladder and biliary
tract carcinoma. We would like to update
several issues related to this topic,
with particular emphasis on new chemotherapy
strategies and drug combinations
for improving outcomes.
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