Extra-abdominal desmoid tumors are very rare tumors. Although technically benign (or noncancerous) because they do not metastasize (spread) to other parts of the body, demoids can grow aggressively in the area the appear. Rarely fatal, desmoid tumors often grow around other surrounding muscle, tendons, joints, bones, nerves, vessels and arteries which can make them result in pain and notable disability.
Desmoids often grow slowly, but can grow more quickly, particularly when exposed to heat (radiation) or incomplete surgical removal.
Desmoids can appear in people of any age, though they occur most often in older children and young adults up to 40 years old. They appear more frequently in males than females.
Most often, patients seek treatment after finding a mildly painful, firm lump or mass under the skin. As the lump grows, it may cause pain and restricted movement in nearby joints or cause unusual nerve responses such as tingling or occasional loss of sensation in fingers or toes.
Standard treatment of desmoids has typically been surgery or chemotherapy.
Surgery attempts to remove the growth; however, desmoids frequently grow back even if the growth is removed completely, and if the tumor is not entirely removed, the growth can often be more aggressive than before.
Chemotherapy has shown to slow or stop the progression of desmoid tumor growth. It does not, however, typically reduce or eliminate the growth.
New use of cryoablation (freezing the tumor) for desmoids has had favorable outcomes. Click HERE to learn more about treatment with cryoablation.See video of patient feedback after cryoablation
The spine is the third most common location for cancer cells to metastasize. Only lung and liver occur more frequently. About 5-30% of patients with systemic cancer will have a spinal metastasis, and some studies have shown that those numbers are closer to 30-70%.
Spinal metastases are only slightly more common in men than in women, and tends to occur more frequently in adults between the ages of 40-65 years.
Most often, spinal metastases appear in the thoracic spine (about 70%).
Spinal metastases causes pain, fracture, spinal instability, and can causes paralysis and/or bowel or bladder dysfunction, and cord compression.Click HERE for a brief video about spinal metastasis
Primary and metastatic liver tumors
Primary liver cancer (also known as hepatocellular carcinoma or HCC), is the third most common carcinoma. HCC often metastasizes (spreads) to other areas of the body through blood vessels or lymph nodes.Click HERE for a video explaining metastases that have traveled to the spine
Colorectal cancer is the third most common cancer worldwide, and often patients have metastases at the time of diagnosis. Bone metastases are common for colorectal cancer, and the spine is the most common site.
Hepatocellular carcinoma is the third most common carcinomaMetastases are common in hepatocellular carcinoma. Most frequently, metastasis is found in the lung, followed by abdominal lymph nodes, and the bone. Spinal metastases are less common with hepatocellular carcinoma; however, when spinal metastases occur, they tend to significantly affect the function of the extremities. Because hepatocellular carcinoma metastases of bone often affects surrounding soft tissue, metastases in the spine often cause symptoms of spinal cord compression (such as paraplegia).
When different cancers metastasize (spreads to a new area), the tumor in the new location mimics the type of growth of the original tumor. For instance, when a lung cancer metastasizes to the spine, its growth in the spine is the same as the type of growth in the lung. It doesn’t act like a primary spinal tumor. Early detection of spinal metastases is essential in preserving function. Back pain is typically the first symptom of metastases, so identifying and treatment spinal metastases quickly significantly is important. Two primary types of back pain present in patients with spinal tumors
Tumor-related pain typically occurs at night or in the early morning and improves over the course of the day with regular activity. It may be caused by inflammation or tumor stretching, and typically responds well to steroids and radiation treatment of tumor.
Mechanical pain represents a structural problem with the spine. Often it is caused by compression fractures, and the pain is worse with movement, standing and sitting.
Renal cell carcinoma
Renal cell carcinoma is the most common form of kidney cancer in adults. Because symptoms of renal cell carcinoma mimic many other illnesses, it is often misdiagnosed or diagnosed once metastasis has occurred.
Although angiomyolipoma is a benign growth in the kidney, that growth can sometimes compromise kidney function. In rare cases, both kidneys can have angiomyolipomas. Often, diagnosis occurs when the enlarged vessel feeding the tumor ruptures. This causes extreme pain, nausea and vomiting.
Cryoablation—also called cryosurgery, cryotherapy, or targeted cryoablation therapy—uses extreme cold to destroy diseased tissue, including cancer cells.
Since the 1960s, cryotherapy has been used to destroy skin tumors, precancerous skin moles, nodules, skin tags or unsightly freckles. It also has been used to destroy retinoblastomas, a childhood cancer of the retina. With the improvement of imaging techniques and the development of devices to better control extreme temperatures, Interventional Radiologists have treated the various cancers with great success:
- Renal cancers
- Liver cancers
- Desmoid tumors
- Bone cancers
- Prostate cancers
- and more
Cryoablation rarely requires hospital observation or overnight hospital stay.Click HERE for a brief video about cryoablation.
more information coming soon
Radiofrequency ablationRadiofrequency ablation (RFA) offers a nonsurgical, localized treatment that kills the targeted cancerous tissue with heat, sparing healthy tissue. Because of the localized nature of this treatment, RFA does not have any systemic side effects. RFA can be performed without affecting the patient’s overall health allowing most people can resume their usual activities in a few days.
Interventional Radiologists uses CT or Ultrasound to guide a small needle through the skin directly into the tumor. From the tip of the needle, radiofrequency energy is transmitted into the target tissue, producing heat and killing the tumor.
Y90One of the most exciting treatments for patients suffering from liver cancer or metastatic tumor spread to the liver is Selective Internal Radiation Therapy (SIRT).
Using X-Ray guidance, Interventional Radiologists administer radioactive, Y90-bound microspheres into the arteries, which supply the tumor(s). The radioactive element Y-90 then bombards the tumors from the inside, delivering a lethal radiation dose to the cancerous cells.
CiC physicians are nationally renowned for their work with this technique, and have performed hundreds of treatments with remarkable success.
ChemoembolizationChemoembolization–also known as cTACE and debTACE–is a way of delivering cancer treatment directly to a tumor or tumors, most commonly within the liver.
Under x-ray guidance, an Interventional Radiologist inserts small catheter is into an artery in the groin. The catheter is moved directly into the artery that supplies blood flow to the tumor. Chemotherapy-loaded microspheres are injected through the catheter.Click HERE to see short video about microspheres.
Chemoembolization works to attack the cancer in two ways:
- It delivers a very high concentration of chemotherapy directly into the tumor while minimizing the exposure of the entire body to the effects of those drugs.
- The procedure cuts off blood supply to the tumor, depriving it of oxygen and nutrients, and trapping the drugs at the tumor site to enable them to be more effective.
Port placementPatients with certain diseases or medical conditions often need intravenous therapy for multiple sessions and over long periods of time.
The veins in arms can become inaccessible with repeated sticks and IVs, so implanted ports become invaluable in maintaining frequent access into the bloodstream for medications, chemotherapy, nutritional support, and blood draws.
Interventional Radiology physicians place your implanted port with a combination of ultrasound and X-ray guidance. This essentially removes the risks associated with traditional placement.
Additionally, the minimally-invasive nature of guided port placement requires only moderate sedation for comfort, avoiding the risks associated with general anesthesia.
Our experienced staff will then educate you and your loved ones on your new port’s care and maintenance, so that you can concentrate on getting better.
Central line placement
more information coming soon