whipple procedure

Though cancers of the liver and pancreas are not the most common, they are among the deadliest. Most of the time, patients are asymptomatic until the cancer is in a late stage, when it has spread to include a large part of the organ or has metastasized to other parts of the body.

Because of the challenges of early diagnosis of hepatobiliary disease, specialized and expert treatment become essential for patients who have been diagnosed. The Cancer Institute is one of the few facilities in the region with the expertise to perform the complex Whipple surgery, a procedure that removes the head and neck of the pancreas.


about liver cancer
Neuroendocrine and Carcinoid Cancer

The Hodes Comprehensive Liver and Pancreas Center at St. Joseph has a highly experienced team of gastroenterologists and radiologists who perform the blood tests, diagnostic imaging and biopsies needed to diagnose liver and pancreatic cancer. Our skilled doctors can make all the difference in making an early diagnosis and starting an effective treatment plan.

Neuroendocrine cancer usually arises from the pancreas. Spread to the liver is not uncommon with malignant variants. Because these tumors tend to be slow-growing, surgical resection offers the best chance for long-term survival. When surgical resection is not feasible, Trans Arterial Chemo-Embolization (TACE) or radiofrequency ablation play a role in its management.

Carcinoid tumors most frequently arise from the terminal ileum or appendix. They are similar to neuroendocrine tumors but tend to cause more symptoms when they have metastasized to the liver. The carcinoid syndrome includes flushing and diarrhea. Because these tumors are slow-growing surgical resection to debulk them is a surgical option. Chemoembolization and TACE are also effective therapies used to manage this disease.

Orthotopic liver transplantation is also an option for young patients who have liver-only disease. Long acting sandostatin is used to manage symptomatic patients who are not candidates for surgical resection.

» Read more about the Carcinoid Syndrome.
» Surgical Management of Neuroendocrine Tumors


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