In the treatment of pancreatic cancer with metastases set out below types of therapy may be applicable in Israel. A team of doctors working with the patient, will offer treatments, basic on the individual needs of the organism.

Israeli doctors, cycling various methods oncological treatment, inhibit the growth of tumor, even lead to regression, converted into a chronic aggressive for increasing patient survival and decrease its suffering.

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The main goal of treatment is to control symptoms. This type of therapy is called maintenance. To control the disease-apply radiotherapy, surgery,chemotherapy. It may also be offered additional procedures to ease the symptoms of the disease.

Chemotherapy in the treatment of cancer of the pancreas with metastases in Israel

Treatment with cytotoxic agents is usually offered under common form of the disease. Applicable products:

  • gemcitabine (Gemzar);
  • FOLFIRINOX - Leucovorin (folic acid), 5-fluorouracil (5-FU), irinotecan (Camptosar) and oxaliplatin (Eloxatin);
  • 5-fluorouracil and cisplatin (Platinol AQ);
  • gemcitabine and cisplatin.

Radiation therapy may be recommended in order to control the pain of common stages of the disease.

Activated as targeted therapy. Most often recommended erlotinib with gemcitabine.

Operation in the treatment of pancreatic cancer with metastases in Israel

Surgery involves a palliative interventions.

stents

If the tumor is blocking the bile duct or duodenum, the stent, as well as more rarely surgery to bypass the blockage.

The stent is a flexible plastic or metal tube, which is introduced into the duct or part of the intestines, blocked tumor. He keeps them open, allowing the movement of the liquid. If the stent is necessary for a long time, it also needs to be replaced because it can reappear blockage or develop an infection.

In order to remove the blockage in the duodenum usually used endoscopy. The patient is injected to help relax and a local anesthetic is sprayed onto the back of the throat. The doctor inserts an endoscope into the throat, stomach, leading to the duodenum.

Stents in bile ducts often placed using ERCP, and sometimes during percutaneous transhepatic cholangiography.

Percutaneous transhepatic cholangiography

If the stent can not be set during ERCP applied cholangiography. It involves carrying out X-ray of the bile duct.

A few hours before the procedure will not be able to take food or liquid. Cholangiography performed in X-ray department. Before beginning her patient receives a sedative. In the liver the local anesthetic is administered. Looking at the X-rays on the screen, the physician directs the needle into the bile duct and enters a dye that renders the blocking zone. The physician uses the thin guidewire, it then passes along the stent and sets in place of narrowing of the bile duct.

If you feel pain the patient is given painkillers. To prevent infection prescribe antibiotics before and after the procedure. Within a few days, it is likely to be required to stay in the hospital.

Ablation and embolization in treating pancreatic cancer with liver metastases

These procedures are used to destroy tumors. In the treatment of this type of cancer they are attracted, if the disease has spread to other organs, especially the liver. But these methods can not curecanceralone. Their main goal - to prevent or reduce the symptoms of the disease, they are often recommended in conjunction with other treatments.

Indications:

  1. Circulated neuroendocrine pancreatic tumors. These methods improve symptoms and prolong life.
  2. Common exocrine pancreatic cancer.

ablative procedures

Ablation destroys tumor usually using heat or cold. This type of treatment, as a rule, does not require a hospital stay. Apply the following types of ablation procedures:

  1. Radio frequency ablation (RFA) in the treatment employs high-energy radio waves. The doctor inserts a stylet into the tumor, it passes through a high-frequency current, which heats and destroys the malignant tumor cells. Basically, this procedure is used if the tumor is small.
  2. Microwave thermotherapy is similar to RFA, with the exception of using microwave beams to heat and destroy abnormal tissue.
  3. Cryosurgery (kridestruktsiya) - a procedure in which the neoplasm destroy by freezing using a thin metal probe. It is introduced into the tumor, it is passed through the cold gases to destroy abnormal cells. Cryosurgery is recommended for malignant tumors of large size, in some cases during cryodestruction general anesthesia is required.

Potential adverse effects of ablation include abdominal pain, infection, internal bleeding. In rare cases, complications of a serious nature are observed.

embolization

During the embolization procedure in the treatment of pancreatic cancer with metastases in the liver substance, the doctor inserts into the artery to block blood flow to the diseased cells, causing their death. Sometimes this method involve, if the tumor is too large, so they can be processed using ablation. As a rule, after embolization does not require hospitalization.

  1. Arterial embolization is also called transarterial embolization (TAE). During this procedure, the doctor inserts a catheter into an artery through a small incision in the inner thigh. To track the path of the catheter applied dye. When the catheter is suitable to the desired location, the artery is introduced fine particles to lock into place.
  2. Transarterial chemoembolization also called chemoembolization (TACE) approach, in which combined chemotherapy and embolization. In most cases the process is carried out by means of microspheres (spherical particles) which is held within a cytostatic drug.
  3. Radioembolizatsiya is a technique that combines embolization with radiotherapy. The artery leading to the tumor by injecting a small radioactive microspheres, they emit a certain amount of radiation for several days. Irradiation extends a short distance, respectively, the side effects are mostly limited to the tumor.

Adverse effects of Potential pancreatic cancer with metastases data treatment Methods in the liver Mainly the include abdominal pain, chills, vomiting, infection.

Loss of appetite and weight

Pancreatic cancer can cause problems with eating and digestion process. If the pancreas is not working properly, the body is unable to digest fat. A doctor in the clinic Israeli assigns preparations containing pancreatic enzymes.

The patient is important to maintain weight, adding more calories in food or drinks. For example, it is possible to supplement food powders with a high protein content or nutrient, high-calorie beverages. If it is difficult to eat a normal portion at a time, as quickly becomes saturated, it can be divided into several small meals throughout the day.

In the case where there is no appetite, can help steroids. In addition, assistance will have a nutritionist in an Israeli hospital, he is an expert in the assessment of the nutritional needs of the sick. Nutritionist also advise on the most suitable products and dietary supplements.

Fatigue

Many patients with pancreatic cancer with metastases feel tired, weak. This is associated with the disease, as well as the side effects of treatment.

The body itself will tell you when the need to rest. May benefit from keeping a diary of fatigue, which keep records on the energy levels at different times and on the activities that gives strength.

For some people, it will be useful for physical activity. According to one study, people after surgery to remove pancreatic cancer, regular walks and increase them every week, I feel more energetic and less fatigued.

Some factors that cause fatigue, can be eliminated by treatment. For example, anemia (low red blood cells) treated by blood transfusion. To diagnose anemia doctor will take a blood test.

Fighting pain tired and affects the quality of sleep. If pain cause or contribute to fatigue, the effective treatment can improve and increase energy levels.

Fatigue is a common symptom of depression. If there are symptoms of this condition, it is important to talk to your doctor. It can be useful help of a professional advisor, as well as help improve the condition of taking antidepressants.

Blood clots

In many types of cancer it changes the balance of chemicals that controls the clotting process. This increases the risk of clot formation. It increases the likelihood of thrombosis as chemotherapy and surgery. But for most people, the benefits of treatment far outweigh the risks.

Most often develop deep vein thrombosis (DVT) when blood clots occur in the veins of the lower extremities. The first sign of DVT is swelling in the leg, sometimes pain, numbness or tingling. Can raise the temperature in the course, change color from normal to red, purple or bluish tint.

In more rare cases, a blood clot occurs in the lungs. This condition is called pulmonary embolism. It develops when part of a blood clot in the leg breaks off and travels through the bloodstream to the lungs. There may be shortness of breath, or coughing up blood, chest pain or back pain that is worse during deep breathing.

Pulmonary embolism - a serious condition, life-threatening. If there is a suspicion of the formation of a blood clot in the leg or in the lung, it is important to seek medical advice immediately. Thrombosis treated with drugs, anticoagulants.

Also need to drink plenty of fluids; regularly make short trips; do exercises for the legs as often as possible, if you can not walk; doing the exercises for a deep breath.

The seat in one position for a long travel (three hours or more) in a plane, a train, a car or bus, is also a common cause of thrombus.

Complementary therapies

Some patients believe that additional methods of therapy can reduce symptoms and improve the condition. It is important to discuss this with the medical team. In many cases, Israeli hospitals offer options such as acupuncture, massage, aromatherapy and relaxation techniques.

prices

The cost of treatment in Israeli hospitals with a high level of health care quality by an average of 30% lower than in the US and Europe. Below are the prices for diagnosis and treatment.

A diagnostic program:

  1. Admission oncologist - 590 dollars.
  2. KLA - 250 dollars.
  3. 2 tests for tumor markers - 240 dollars.
  4. Biochemistry of blood - 270 dollars.
  5. PET-CT - 1680 dollars.

Total: 3730 USD.

If necessary:

  1. US - $ 330.
  2. Endoscopic ultrasonography - $ 1,000.
  3. MRI - 1500 dollars.
  4. Angiography - 4800 dollars.
  5. Biopsy - 610 dollars.

Prices for medical procedures:

  1. Chemotherapy - 1 180 dollars. in one session, the cost of drugs for $ 350.
  2. Pankreatoduodenektomiya - 51 100 dollars.
  3. Laparoscopic removal segment pancreas - 60,200 dollars.

To get the exact calculation of diagnostics and therapy, leave a request on the site.

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