Liver Cancer Treatment
The Liver Cancer Program at Orange Regional Medical Center’s Spagnoli Family Cancer Center is dedicated to comprehensive and customized care for people with liver cancer.
Chemoembolization places chemotherapy into a blood vessel that feeds a cancerous tumor, which then cuts off the tumor's blood supply and traps the chemotherapy within it. This type of cancer treatment is most often used for liver cancer, but may be used in other cases depending on a patient's individualized case. Chemoembolization can be performaned as a standalone treatment or, in some cases, it is used in combination with surgery, radiation therapy or radiofrequency ablation.
Yttrium 90 (Y-90)
In 2012, Orange Regional was the first hospital in the Hudson Valley to perform the Yttrium 90 (Y-90) radio ablation treatment.
With this procedure microscopic beads of radioactive isotope are injected into hepatic artery to treat tumors in the liver. The procedure is performed in the Interventional Radiology suit with both an Interventional Radiologist and a Radiation Oncologist calculating and delivering the dose. This allows livers to receive a pinpoint dose, shrinking them and preserving healthy tissue.
Selective Internal Radiation Therapy
Selective Internal Radiation Therapy (SIRT) is a form of radiation therapy most often used to treat liver cancers that cannot be removed through surgery. It is an image-guided treatment used to target malignant tumors in the liver directly via it’s blood supply using particles coated with radiation, called microspheres. These microspheres reduce the blood supply to the liver tumor, destroying tumour cells and preventing the tumour from getting the nutrients it needs to grow.
Transarterial Chemo Embolization
Minimally invasive, image-guided treatment for liver cancer, Transarterial Chemo Embolization (TACE) is performed by a specially trained radiologist. This therapy involves the administration of chemotherapy directly to the liver tumor, which allows the tumor to be targeted without having to administer treatment to the whole body. Following the chemotherapy, the blood supply to the tumor is blocked (embolized), therefore the tumor is treated using two techniques. TACE can be performed multiple times to achieve the desired response in the tumor.
About Liver Cancer
The liver is the largest internal organ and one that you cannot live without, as it performs several very important functions that allow your body to function properly, including:
- Your liver is most well known for it's role in breaking down drugs, alcohol, and toxic wastes from your blood and excreting them from your body.
- Your liver also generates most of the clotting factors that keep you from bleeding too much when you are injured.
- Many important nutrients that your body needs for energy or to build or repair body tissues are broken down, or metabolized, and stored in the liver.
- Your liver is in charge of secreting bile into the intestines which help your body to absord nutrients.
The liver is made up many different types of cells that can form several types of malignant (cancerous) and benign (non-cancerous) tumors. These tumors have different causes, are treated differently, and have a different prognosis (outlook).
Cancer that forms in the tissues of the liver is defined as primary liver cancer. Whereas, secondary liver cancer is cancer that spreads to the liver from another part of the body.
Liver cancer is also a leading cause of cancer deaths worldwide, accounting for more than 600,000 deaths each year.
The American Cancer Society’s estimates for primary liver cancer and intrahepatic bile duct cancer in the United States for 2017 are:
- About 40,710 new cases (29,200 in men and 11,510 in women) will be diagnosed
- About 28,920 people (19,610 men and 9,310 women) will die of these cancers
Education and Support
From cancer support groups and screenings to our clinical trials program, we provide comprehensive cancer care. If you or a loved one has cancer, count on Orange Regional’s experienced physicians, compassionate staff and live-saving technologies to fight the battle, together with you.
Our Patient Navigators are specially-trained to help guide and support you and your family through your cancer care treatment and recovery.
We are an active participant in the Rapid Quality Reporting System (RQRS), a data collection and reporting system with near real-time information on cancer patients.
From living with cancer to living beyond it, at Orange Regional, we're proud and committed to offering survivorship services from support groups to rehabilitation.
We're committed to offering the best available survivorship services. This is why we have implemented our comprehensive Cancer Rehabilitation Program.
Cancer Support Groups & Classes
MEET OUR TEAM
- Eileen Schmidt,
Palliative Care Patient Navigator
Eileen Schmidt specializes in providing one-on-one guidance through your palliative care treatment. She also facilitates our Lung Cancer Support Group.
- Arvind G. Kamthan, M.D., M.R.C.P. (U.K.), F.A.C.P.,
Dr. Kamthan completed his medical training at SMS Medical College in India and residency training at Charleston Area Medical Center at West Virginia University with a fellowship at Mt. Sinai Medical Center in New York. Dr. Kamthan has been practicing medicine for over 23 years.
- Cleveland W. Lewis, Jr, MD,
Cleveland W. Lewis, Jr, MD is an Orange Regional Medical Group surgeon specializing in thoracic procedures. Dr. Lewis will also be serving as Assistant Director of the Surgical Residency program. Dr. Lewis received his medical degree and completed his Cardiothoracic Surgery Residency at Duke University School of Medicine, in N.C.
- Nathaniel Margolis,
Medical Director, Breast Center
Nathaniel Margolis, M.D. is medical director of the Ray W. Moody, M.D. Breast Center. His combination of breast disease clinical knowledge and humane, compassionate care makes him the perfect leader for our nationally-recognized breast care program.
- Paramjeet Singh,
Medical Director, Surgical Oncology / General Surgeon
Paramjeet Singh, M.D., FACS is an Orange Regional Medical Group surgeon. He specializes in General Surgery and is Medical Director of Surgical Oncology. He provides patients with hepato-biliary surgical, trauma surgery surgical oncology services, as well as being a member of the Medical Group’s General Surgery team.
- Betty Koshy,
Manager, Radiation Oncology
- Regina Toomey Bueno,
- Peter Bezdicek,
- Eric Saint Clair,
- Nader Okby,
Tumor Site Development
- Sergey Koyfman,
Head & Neck Tumor
- Thomas Eanelli,
- Adel Abadir,
- Jeffrey Stewart,
Medical Director, Cancer Care Program
- Sara Sargente,
Head & Neck Cancer Patient Navigator
- Jayne O’Malley,
Lung Cancer Nurse Navigator
- Michele Worden,
Breast Cancer Patient Navigator
Count on Michele’s personal and clinical experience to help guide you through the wide range of services and treatments available at the nationally-accredited Ray W. Moody, M.D. Breast Center.