HIFU TREATMENT CRITERIA FOR PATIENTS WITH PANCREATIC CANCER
INDICATIONS FOR HIFU - ABLATION
- Histologically verified pancreatic cancer
- The patient cannot withstand a radical surgery
- Unresectable carcinoma
- Expected survival for more than 3 months
- The tumor is clearly visible with ultrasound
- The patient has no clinical manifestations of obstructive jaundice
- Possibility to provide enough and safe acoustic approach to the tumor
- Patients in stage 4 with a strong pain syndrome of morphine derivatives
- Patients have applied at least 3 courses of chemotherapy before the HIFU - ablation
- Signed informed consent for the ablation
CONTRAINDICATIONS FOR HIFU - ABLATION:
- Contraindications for general anesthesia
- After surgery for jaundice, the tumor is not visible with ultrasound due to large postoperative scars, adhesions etc.
- The presence of metal particles (clips) after surgery / pankreatoektomiya /
- Obstructive jaundice
- Thrombosis of the inferior vena cava and / or portal vein Completely broken upper mesenteric vessels
- Massive calcification of the vessels
- Patients after radiotherapy with a dose over 45 GY.