Liver Tumor Treatment in India
What is Liver Tumor?
Liver Tumor begins with the cells of the Liver.
Many types of Tumor can form in the Liver. Amongst Liver Tumor, the most prevalent one is hepatocellular carcinoma.
We should understand the triggers of Liver Tumor.
Liver Tumor is the growth and spread of abnormal cells in the liver. Your liver is your largest internal organ and is found just above your abdomen, below the right ribs. Your liver has a vital role in your survival. You can survive without some other organs, such as one kidney, one lung, or your gallbladder, but you cannot live without your liver. The liver is essential for digesting food and removing all the toxic substances from your body. The functions of the Liver are as follows:
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- Removing toxins from your blood
- Converting nutrients from the foods you eat
- Storing minerals and vitamins
- Regulating blood clotting
- Producing cholesterol, proteins, enzymes, and bile
- Making factors that fight infection
- Removing bacteria from your blood
- Processing substances that could harm your body
- Maintaining hormone balance
- Regulating blood sugar levels
Symptoms:
Following are the crucial symptoms that are associated with liver Tumor:
- Unintentional weight loss
- Abdominal swelling
- Jaundice (yellow colour of the skin, dark-coloured urine and clay-coloured stools)
Other symptoms of liver Tumor may include:
- Appetite loss that lasts for weeks
- A general sense of ill health
- Feeling bloated or full even with small meals
- An abrupt deterioration of health in someone who has been diagnosed with chronic hepatitis or cirrhosis.
- Presence of a hard bump right below the rib cage
- Profuse sweating
- Itching sensation
- Fever
- Fatigue and weakness
- Nausea
- Back or abdominal pain
- Internal hemorrhage
Diagnosis:
Liver Tumor Screening: Those with Hepatitis B and C infections, alcohol-related cirrhosis, other alcohol abusers and those who have cirrhosis as a result of hemochromatosis are all considered as high-risk individuals. They should consider regular liver tumor screening as it helps in the early detection of the disease. If liver Tumor is not detected early, it is significantly more challenging to treat and manage. As liver tumor show no symptoms in their early stages, the only way to detect them early is through screening.
If liver tumor is suspected during the screening, following additional tests may be recommended for a confirmed diagnosis.
a. Blood test: Alpha-Fetoprotein (AFP) is a chemical secreted by liver tumours. Adults with increased AFP levels should consider additional tests for liver tumor, as this protein is produced in 70% of all liver malignancies. High iron levels could also indicate the presence of a tumour.
b. Imaging Tests: Ultrasound imaging is commonly recommended since it can identify tumours as small as one millimeter. These tumours are diagnosed and staged using high-resolution CT scans and contrast MRI images.
c. Biopsy: A tissue sample from the suspected area is collected and analysed under a microscope during a biopsy. This test is necessary for the definitive diagnosis of the condition.
d. Laparoscopy: Laparoscopy may be recommended in various situations, including finding tiny tumours, determining the amount of cirrhosis, collecting a biopsy, and even confirming the results from previous tests.
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Treatment:
The treatment planning for liver tumor patients is made upon considering multiple factors, such as the patient’s age, overall health, and personal preferences, as well as the stage of the disease, tumour size, exact location of the tumour and tumour grade. The following are the treatment options available for liver tumor management:
- Surgery: Surgery is one of the main treatment options recommended for liver tumor. Depending on the stage of the disease, there are different surgical procedures recommended by the doctor.
- Liver Resection or Hepatectomy: The surgical removal of all or part of the liver is called liver resection. In the case of partial hepatectomy, the tumour is removed with a small portion of healthy tissue. During full hepatectomy, the liver may be removed entirely.
- Liver Transplant Surgery: Liver transplant surgery is usually a treatment option for those patients who have tumours that cannot be operated on, either because of their location or because a large portion of the liver is affected by the disease and surgery will be too much for the patient to tolerate. Liver transplant surgery is largely recommended for patients with early-stage cancers, wherein the disease has not spread to nearby organs.
- Ablation: Ablation is one of the treatment options recommended for liver tumor, and it destroys liver tumours without removing them. Ablation is usually recommended in cases where patients have small tumours or have health conditions that do not allow them to undergo surgery. Ablation is not a curative approach for liver cancer; however, it can be helpful for some patients.
- Cryoablation: Cryoablation is a procedure wherein the cancer cells are frozen and killed using cold gases.
- Radiofrequency ablation (RFA): Radiofrequency uses high-energy radio waves to heat the tumour and destroy the cancer cells. A thin, needle-like probe is used through which a high-frequency current is passed to the tumour to destroy it.
- Microwave Ablation (MWA): This treatment approach uses microwave waves to destroy the tumour.
- Ethanol (alcohol) Ablation: This procedure involves injecting concentrated alcohol directly into the tumour in order to destroy the cancer cells.
- Embolisation Therapy: Tumour cells cannot survive without oxygen and nutrients and tumour cells receive these biomolecules through the blood supply. Embolisation therapy is a treatment option for liver cancer, wherein specific chemicals are injected directly into a liver artery to restrict or limit blood flow to a tumour.
- Trans-arterial embolisation (TAE): TAE is a medical procedure that involves cutting off the blood supply to a tumour or abnormal tissues. During this procedure, a small incision (cut) is made in the inner thigh, and a catheter (a slender and flexible tube) is inserted and guided into an artery near the tumour or abnormal tissue. Once the catheter is in position, tiny particles are injected into the artery to block it, preventing the tumour from receiving oxygen and nutrition.
- Transarterial Chemoembolisation (TACE): This is a specialised embolisation procedure that combines both embolisation and chemotherapy. In most cases, TACE is initiated by administering chemotherapy directly into the artery via a catheter, then sealing the artery to ensure that the chemo medication stays close to the tumour.
- Radioembolisation (RE): This treatment approach combines radiation therapy and embolisation. During this procedure, radioactive substances are injected into the beads form through the inserted catheter. These radioactive beads remain in the artery and give off a small amount of radiation for a certain period of time in order to destroy the cancer cells.
- Radiation Therapy: This treatment method involves treating liver tumor with high-dose radiation. Radiation therapy is a non-invasive procedure that may be combined with other treatment options in order to enhance the efficacy of the overall treatment. Radiation therapy may also help in easing pain and other complications seen in patients with advanced-stage liver cancers.
- Chemotherapy: Chemotherapy is one of the common treatment options recommended for liver tumor. The doctor may recommend chemotherapy in order to shrink the tumour before the surgery (neoadjuvant chemotherapy) or to destroy the residual cancer cells after the surgery (adjuvant chemotherapy). Chemotherapy is often combined with other treatment methods, namely radiation therapy and embolisation in order to increase the overall effectiveness of the treatment. It is also used as a part of palliative care in order to ease the symptoms caused by the disease.
- Immunotherapy: Immunotherapy for liver tumor works by stimulating the patient’s immune system to fight against the disease. Most cancers release specific proteins that block the immune cells from attacking them. Although not a main line of treatment for liver tumor, immunotherapy can be helpful for some liver cancer patients.
- Targeted therapy: Targeted therapy is a treatment approach used to treat cancers, and it specifically targets the genes, proteins, or tissue environment that contribute to the growth and spreading of cancers. In the case of liver tumor, targeted therapies use anti-angiogenesis drugs. These drugs halt the formation of new blood vessels and starve the tumour of oxygen and necessary nutrients.
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Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds: 262
Airport: 20kms
About Hospital:
- Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
BLK-Max Hospital
Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km
Brief About:
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Max Hospital Saket
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
Brief About:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
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- Providing a doctor’s opinion and proper quotation
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Medanta The Medicity Hospital
Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs
Brief About:
- Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
Manipal Hospital Dwarka
Number of beds: 380
ICU Beds: 118
Airport Distance: 8 Km
About Hospital:
- Manipal Hospital Dwarka is a prominent multi-speciality and quaternary care providing hospital with first-rate healthcare services and integrated facilities.
- The world-class medical centre is a part of Manipal Education and Medical Group (MEMG), one of India’s forerunner healthcare groups.
- The group started with one flagship hospital in 1991 and now has bloomed into a network of 15 hospitals with a significant presence in Malaysia.
Dr. Rela Institute and Medical Centre
Number of beds: 450
ICU Beds: 130
Airport Distance: 8 KMs
About Hospital:
- Dr. Rela Institute & Medical Centre was established under the leadership of Prof. Mohamed Rela, a world-renowned surgeon in the field of Liver Surgery and Transplantation.
- Dr. Rela made a world-record by performing a Liver Transplantation on a 5-day old baby and made his name in the Guinness Book of Records.
- Dr. Mohamed Rela, who has performed more than 4000 liver transplant surgeries.
Manipal Hospital Bangalore
Number of beds: 600
ICU Beds: 124
Airport Distance: 18 KMs
About Hospital:
- Established in the year 1991. Manipal Hospital HAL Airport Road is a multi-specialty hospital.
- The hospital has 600 in-patient beds. The NABH and NABL accredited facility is among the top 10 multispecialty hospitals in India.
- It is prominent for making use of high tech equipment and systems like IBM Watson technology for oncology patients.
Aster CMI Hospital Bangalore
Number of beds: 500
ICU Beds: 50
Airport Distance: 27 KMs
About Hospital:
- Aster CMI hospital was established in 2014, from a single medical centre to a performance driven healthcare enterprise, spread across 320 establishments in 9 countries.
- Aster CMI hospital is one of the top hospitals in Bangalore, with serene ambience, spacious interiors, advanced medical facilities.
- Aster CMI is one of the best multispecialty hospitals in Bangalore as per the Times of India (TOI) All India Multispecialty Ranking Survey.
Kokilaben Dhirubhai Ambani Hospital
Number of beds: 750
ICU Beds: 180
Airport Distance: 8 KMs
About Hospital:
- Kokilaben Dhirubhai Ambani Hospital is a top-class multi-specialty tertiary care hospital with a capacity of 750 inpatient beds.
- The hospital has a large number of ICU beds in Mumbai, with 180 ICU beds and 240 independent clinics,having the capacity to deal with over 9,000 outpatient consultations every day.
- The hospital prides itself for having a Full Time Specialist System which ensures easy access and comprehensive use of resources to various specialists .
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