Treatment of liver cancer / Top clinic in Germany, Friedrichshafen

Treatment of liver cancer in Germany

Friedrichshafen Clinic is on the top positions among the best medical institutions in Germany. Having specialization in 12 different fields of medicine the medical center located in the South of Germany among the others provides diagnosis and treatment of the gastrointestinal tract, as well liver and pancreas diseases including cancer, using the newest methods.

Friedrichshafen Clinic offers to the patients the best and most effective of the modern medicine, as liver cancer treatment which is carried out by qualified and experienced specialists by means of proven and efficient methods using diagnostic and therapeutic equipment of the last generation.

Professor K. Arnold, Head of the Department is a recognized expert with years of experience in the field of gastroenterology and hepatology.

Liver Cancer Symptoms

Unfortunately, liver cancer is a disease of the fifth highest prevalence among the population of the European countries, Russia and in most of the Asian countries. There are more than 250,000 people worldwide, who get the disease every year, and the risk to have liver cancer in men population is 2 times higher than among the representatives of the female sex.

Oncologists distinguish the two main types of liver cancer, which is disease faced by people of all the ages from the very birth to old age. It was not long ago when such kind of malignant degenerations were difficult to cure, and, in most cases, led to the rapid death of a patient, but the current treatment of liver cancer gives a high chance for recovery. And qualified oncologists of the Friedrichshafen Clinic have succeeded in this significantly as the majority of patients recuperate from primary and secondary cancer with long-term remission and low relapse rates.

Suspicion of malignant transformation of liver cells occurs in the presence of the following symptoms:

  • General weakness,
  • Loss of appetite,
  • Dramatic weight loss.

As a rule, in the early stages, those symptoms are hardly noticeable and people just do not pay them attention.

With the transition to the 2-3 stages all of those manifestations are progressing, and there may be shortness of breath, feeling of heaviness in the right upper quadrant. The problems with a stool appear, appetite disappears completely, and an aversion to food is developed.

Approximately in one fifth of the cases, there is constant nausea with periodic vomiting and bitterness in the mouth in the morning. Another symptom is aching right side, as well as fever, and stomach inflates by fluid gathering. Over time jaundice appears (in 50 per cent of cases).

In the latter stages, metastases start appearing and the abdominal veins swell due to impaired blood flow, and fluid – ascites – collects in the abdominal cavity.

Any of these symptoms might be related to a number of other diseases, but to avoid the worst issue, it is necessary to have careful examination as soon as possible. Only timely diagnostics and, when liver cancer is proven, immediate measures could give a patient a chance for a positive outcome.

Liver Cancer Diagnostics

Treatment of liver cancer in the Friedrichshafen Сlinical Сenter starts with high-quality diagnostics, which includes the following studies:

  • The history of the patient's disease
  • Clinical blood chemistry
  • Ultrasound diagnostics
  • Computed tomography
  • Magnetic resonance imaging
  • Biopsy
  • Angiography
  • Laparoscopy
  • PET and CT scans

For more information on above mentioned diagnostic methods please refer to the relevant sections. And below you can find further details on the various liver cancer treatment methods using in Friedrichshafen Clinic.

Liver Cancer Treatment

Surgical treatment is the most effective for liver cancer, especially if a patient diagnosed with primary cancer. But surgical removal of the tumor has a number of contraindications as large size of neoplasm, sprouting of cancer outwards of the liver, cirrhosis in an advanced stage.

There are two main types of operative treatment for liver cancer:

  1. Hemihepatectomy: surgical removal of 1/2 of the affected liver
  2. Lobectomy: resection of tumors with a part of the body that is in contact with cancer

When possible, minimal invasive treatment of liver cancer is used as laparoscopic intervention (without a surgical incision) for removing tumors and affected segment of the organ.

Treatment of liver cancer is more complicated in advanced cases. In such situations, radical removal of the entire organ might apply with following transplantation of material from a related donor, or someone else.

In this case, operation is made by the following procedure: abdominal wall is cut in the shape of L, vessels supplying liver with blood are intercepted, and the organ itself is also removed. Further treatment of liver cancer is performed by transplanting donor organ with the creation of anastomoses of vessels and bile ducts into the intestines. The donor liver can be obtained both from a deceased donor and from the living one, because the liver has the unique properties of self-regeneration. As long as the liver function is not recovered in full, a special device – artificial liver – would work instead.

Clinic Friedrichshafen was one of the first to master the advanced system of fast-track surgery, when the treatment of liver cancer allows you to recover quickly from the surgical removal of tumors.

In addition to the radical methods of treatment, liver cancer in Friedrichshafen Clinic Center is carried out by other effective ways:

  • Radiation treatment of liver cancer by means of proton therapy and selective internal radiation;
  • The method of radiofrequency ablation (laser irradiation of the tumor or electromagnetic treatment);
  • Cryosurgical treatment of liver cancer;
  • Biological treatment of liver cancer;
  • Different types of chemotherapy.

Liver cancer treatment in our clinic is performed by experts in the field of Gastroenterology and Hepatology, Visceral and Transplant Surgery, Diagnostic and Interventional Radiology and Nuclear Medicine.

Treatment of liver cancer

4.2/5 (30 votes)

Comments and questions

Lisa Pittam Fri, 08 Dec 11:38

Please can you advise if your clinic would be able to help my relative, as she had been diagnosed with terminal liver cancer.
She has a stent for her drainage, but this is not fully operational, so she can not receive chemotherapy, and no more can be done for her.
Please can you help?

Mahmoud Awad Mon, 06 Nov 11:18

Dear professors,

I am Mahmoud Awad from Egypt.

From the results of Triphasic spiral CT scan, my father (62 years old) has cirrhotic liver with large exophytic malignant mass from segments V, VI & VII of the right lobe measuring 16 x 13 cm showing typical enhancing pattern of HCC. Another mass at segment IV measuring 26 x 21 mm with the same enhancing pattern. Focal biliary dilatation at segments VII & VIII, likely infiltration. Malignant thrombosis of anterior and posterior branches of the right portal vein. Patent main and left portal vein. The results of blood analysis showed positive HCV infection, SGOT (AST) 42 U/L, SGPT (ALT) 35 U/L, albumin 4.0 g/dl.

Therefore, please could you kindly inform me if it is possible to perform the strategy of Hemihepatectomy (surgical removal of 1/2 of the affected liver) for this malignant tumor ? If possible, then please inform me the price of the surgery and all costs.

I am ready for any questions or information you require.
I am looking forward to your kind reply !

Sincerely,
Mahmoud Awad

Neil Urbinati Tue, 29 Aug 08:24

I have a carcinoid tumor on the liver and have been treated with lutetium therapy. The tumor has not shrunk. Can you inform me of other possible treatments?

Katrina O connell Sat, 05 Aug 17:13

My name is Katrina O Connell and live in Co Cork Ireland. My son was diagosed with Fibrolamellar HCC in june 2016 . He had a 10 centimetre Tumor removed on th 29th of june 2016. He didn't require any further treatment and was well for approximately 9 months. He had an MIR done on the 26th of june this year which showed at least 8 new tumors. Gavin is not a candidate for surgery and they have advised to start TACE treatment. We are looking for a consultant with experience of fibrolamellar HCC to review Gavins case. I'll look forward to hearing from you.
Many thanks,
Katrina O Connell

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Department

Facts and Figures

  • 4200 inpatients
  • 250 endosonographies
  • 1231 endoscopies
  • 2500 gastroscopies
  • 1100 colonoscopies
  • 280 bile duct reflections
  • 26 capsule endoscopies
Services

Gastroenterology

Cancer treatment

Medical Staff

Prof MD Christian Arnold

Prof MD Christian Arnold
Head of the Gastrological Department

MD Karl Winkler

MD Karl Winkler
Head physician assistant

MD Thomas Günther

MD Thomas Günther
Senior physician

MD Inga Münkle

MD Inga Münkle
Senior physician

MD Gunda Millonig

MD Gunda Millonig
Senior physician

Ursula Fecht

Ursula Fecht
Medical secretary

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