Broshure

Pancreas

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.