Have Heart And Kidney Problem. Diagnosed With Hepatocellular Carcinoma With Portal Vein Thrombosis. Suggest Further Treatment?

Posted on Thu, 17 Oct 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 17 Oct 2013 Answered on

Thu, 7 Nov 2013 Last reviewed on

Question : My father age 78 with heart condition and kidney problem (controlled with tablets) diGnosed with hcc with portal vien thrombosis was going to undergo radioembolization today but bilirubin shot up to 7 ct scan shows tumor has blocked the bile duct pls urgently suggest if metal stent in should be done??

Answered by Dr. Manjeth Kumar G (1 hour later)

Brief Answer:
Tes. Metal stent can be placed in for palliation.

Detailed Answer:
Hello,

Welcome to XXXXXXX

Thanks for your query.
I have gone through your query and understand your concern.

As Portal vein and bile duct is involved, he is in the T4 stage of the disease by Tumour classification.

Yes. He can go for Radioembolization and metal stent can be placed in.

Metal stent can be placed in Cancerous bile duct obstruction.
It is to be necessarily placed for palliation.

As far as bilirubin value is concerned, it may be either due to liver cancer or block in biliary duct.
If it is due to HCC, then bile rubin level will not come down ever after the stent placement.
One of the frequent side effect of radioembolization is gastritis and radiation damage to stomach.

Hope this helps.
Please reply for further queries.
Wishing you good health.

Above answer was peer-reviewed by : Dr. Yogesh D