All of the following are modalities of therapy for hepatocellular carcinoma except
Correct Answer: Nd Yag laser ablation
Description: .Treatment modalities for hepatocellular carcinoma includes Definitive Treatment * When limited to one lobe, hemihepatectomy is done. (Removal of 80% liver is compatible with life). Laparoscopic resection is becoming popular. Indications for transplantation in HCC are - * Patient who is not a candidate for resection * Tumour less or equal to 5 cm * Tumour less than 3 in number * Tumour without poal/hepatic vein invasion * Tumour without extra hepatic spread Palliative Treatment * Radiofrequency ablation (RFA): It is thermal ablation of the tumour by passing 18 G needle into the middle of the tumour and passing electric current of 500 kHz. This creates frictional heat causing sphere of necrosis. * Per-cutaneous ethanol or acetic acid injection: (Rule of 3 is used here- indicated in HCC not >3cm and not > 3 nodules). * Intra-aerial chemotherapy using Adriamycin / cisplatin/mitomycin through gastroduodenal aery. Adjuvant Therapy * Systemic chemotherapy using intravenous adriamycin (doxorubicin), cisplatin, carboplatin, mitomycin C, 5 fluorouracil. * Octreotide is used along with other chemotherapeutic agents. It decreases the size of the tumour. ref:SRB&;s manual of surgery,ed 3,pg no 542
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now