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Liver Tumor Clinic

At Cleveland Clinic’s Liver Tumor Clinic, we’ve designed our services so that all of the specialists you need – including hepatologists, radiologists, oncologists, liver and transplant surgeons, and specialized nurse coordinators – work together as a team. One call puts you in touch with our multidisciplinary team that works with patients who have either benign and cancerous liver tumors to develop the appropriate treatment plan, aimed at preserving liver function and quality of life.

This new, “one-stop” clinic improves your treatment by eliminating multiple appointments with different physicians at various locations. Now, all of the doctors you need are assembled here under one roof for you. Not only is this model of care more convenient, but it also allows our physicians to create an individualized treatment plan that’s best for you in less than 30 days.

Mission of the Liver Tumor Clinic

The mission of the Liver Tumor Clinic is to offer state of the art medical care to patients with hepatic tumors through a multidisciplinary team of experienced health care professional leaders in the field of hepatic oncology.

Philanthropic support provides the necessary resources to continue cutting-edge research.

Contact the Liver Tumor Clinic

To reach the Liver Tumor Clinic, please call 216.445.8389 or 800.223.2273 ext. 58389.
Email: livertumorclinic@ccf.org

Tumors Treated

Primary Malignant Tumors
Benign Tumors
Secondary Malignant Tumors

Treatment Options

Treatment options include diverse surgical interventions and locoregional and medical oncological therapies only offered by the most highly specialized centers in the nation

Surgical
  • Extensive liver resections
  • Two-stage hepatectomy
  • Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure
  • Ex-vivo hepatectomy
  • Liver transplantation
Locoregional Treatments
  • Microwave ablation, cryoablation, electroporation (NanoKnife) and radiofrequency ablation
  • Transcatheter therapies : radioembolization, chemoembolization
Medical Oncology Treatments
  • Diverse systemic chemotherapies and molecular targeted therapies
Minimally Invasive Liver Surgery

The Liver Tumor Clinic offers minimally invasive liver surgery (MIS) via laparoscopic and robotic technology. Since the advent of our MIS liver surgery program in 2006, our team has performed over 200 resections. Diverse types of liver resections and liver sparing interventions such as microwave ablation and radiofrequency ablation are offered to selected patients with the advantage of shorter postoperative hospital length of stay and less surgical pain.

During a routine check-up at Cleveland Clinic to evaluate a stent in his aorta, Jack Speir learned his liver might be cancerous. Despite hailing from Atlanta, Mr. Speir, age 73, chose to seek care at Cleveland Clinic – the hospital he credits with saving his life nine years prior when treated for an aortic aneurysm.

Jack Speir

After a biopsy confirmed liver cancer, Narayanan Menon, MD, a liver specialist within the Digestive Disease Institute’s Liver Tumor Clinic, explained treatment options to Mr. Speir. In the hopes of being cancer-free, Mr. Speir chose surgical removal of the tumor and was referred to Federico Aucejo, MD, liver surgeon.

“Dr. Aucejo could not have been nicer,” Mr. Speir said. “He explained what the surgery would entail, the incisions and the length of the recuperation period.”

On October 13, 2009, Mr. Speir underwent successful liver tumor removal. His pain was managed with an epidural. Once his gastrointestinal function returned Mr. Speir was discharged to the regular nursing floor, where staff helped him regain mobility and prepare for a lengthy drive back home to Atlanta. One month later, he managed the drive back home, where he continued to recuperate.

“I worried I would be able to make it home, but I did,” he said. “I’m now 85 percent better. I’m still working on my strength, and I can’t be as active as I was before, but I’m getting there.”

Mr. Speir’s surgery was complicated by the fact that he had undergone a quadruple bypass in 2000, had a stent implanted in 2001, had Type II diabetes and was an amputee. However, he remains positive about his prognosis.

“At Cleveland Clinic, the devotion and attention given to improving your health is unmatched anywhere,” Mr. Speir noted. “They take a genuine interest in your well-being.”

The Cleveland Clinic Liver Tumor Clinic offers a multidisciplinary medical and surgical approach to treat patients with hepatic tumors, including surgical resection (open, laparoscopic, robotic); radio frequency ablation (RFA); transarterial chemoembolization (TACE); transarterial radiotherapy; systemic chemotherapy; and liver transplantation (cadaveric and living donation). During the same clinic visit, patients are evaluated by a group of specialists as needed.  The medical team is comprised of hepatobiliary and transplant surgeons, hepatologists, radiologists and oncologists, who interact with the support of specialized nurse coordinators.

To contact the Liver Tumor Clinic to make an appointment, please call 216.445.8389 or toll-free 1.800.223.2273 ext. 58389.

Cleveland Clinic Liver Tumor Clinic Highlights

Since its inception in May of 2009:

  • The multidisciplinary liver tumor clinic has served 646 patients with 530 therapies provided.
  • The time between consults (surgery/hepatology/radiology/oncology) has been reduced 3 fold.
  • A comprehensive liver tumor database has been created.
  • A tumor tissue bank has been created.
  • The number of liver tumor related publications has increased significantly.

Patient Demographics

   
Mean age (years) 60 +/-11
Gender: Males 65%
Females 35%
Diagnosis: Number:
Hepatocellular carcinoma: 298 (46%)
Colorectal liver metastasis: 81 (13%)
Cholangiocarcinoma: 48 (7%)
Hepatic adenoma: 29 (5%)
Liver hemangioma: 27 (4%)
Liver cyst: 24 (4%)
Metastatic neuroendocrine tumors: 15 (2%)
Others: 124 (19%) (includes liver metastasis from breast CA, pancreas CA, stomach CA, leiomisarcoma, etc)
Interventions:
   
Surgical: 226
Liver resection: 137
Liver transplantation: 89
Non-surgical: 304
Transarterial chemoembolization
(TACE+DEB):
124
Bland embolization: 22
Transarterial radiotherapy (TARE): 60
Radiofrequency ablation (RFA): 25
Systemic chemotherapy: 45
Sorafenib: 28

Innovation and treatment discoveries are pivotal within the mission of the Cleveland Clinic Liver Tumor Clinic. Some of these endeavors include:

  • 3-D printing of liver models and computer software to aid surgical treatments of complex liver malignancies
  • Tissue, serum and breath bio-repository for translational research
  • Liver malignancy mice xenograft research platform—to study liver tumors from individual patients fostering personalized medicine in the field of liver oncology

Liver Tumor Clinic Publications

2015

  1. Akyuz M, Yazici P, Dural C, et al. Laparoscopic management of liver metastases from uveal melanoma. Surg Endosc. 2015.
  2. Akyuz M, Yazici P, Yigitbas H, et al. Oncologic results of laparoscopic liver resection for malignant liver tumors. J Surg Oncol. 2015.
  3. Berber E. The first clinical application of planning software for laparoscopic microwave thermosphere ablation of malignant liver tumours. HPB (Oxford). 2015;17(7):632-636.
  4. Berber E. Laparoscopic microwave thermosphere ablation of malignant liver tumors: An initial clinical evaluation. Surg Endosc. 2015.
  5. Dugum M, Hanouneh I, Lopez R, Aucejo F, Eghtesad B, Zein N. Hepatocellular carcinoma in the setting of chronic hepatitis B virus infection: Tumor recurrence and survival rates after liver transplantation. Transplant Proc. 2015;47(6):1939-1944.
  6. Hashimoto K, Miller CM. Liver transplantation for intrahepatic cholangiocarcinoma. J Hepatobiliary Pancreat Sci. 2015;22(2):138-143.
  7. Mi K, Kalady MF, Quintini C, Khorana AA. Integrating systemic and surgical approaches to treating metastatic colorectal cancer. Surg Oncol Clin N Am. 2015;24(1):199-214.
  8. Mohamad B, Bhatt A, Kumaravel A, et al. Xanthogranulomatous cholecystitis mimicking biliary tract cancer. ACG Case Rep J. 2015;3(1):57-59.
  9. Mohamad B, Shah V, Onyshchenko M, et al. Characterization of hepatocellular carcinoma (HCC) in non-alcoholic fatty liver disease (NAFLD) patients without cirrhosis. Hepatol Int. 2015.
  10. Zaidi N, Okoh A, Yigitbas H, Yazici P, Ali N, Berber E. Laparoscopic microwave thermosphere ablation of malignant liver tumors: An analysis of 53 cases. J Surg Oncol. 2015.
  11. Zhang W, Kim R, Quintini C, et al. Prognostic role of plasma vascular endothelial growth factor in patients with hepatocellular carcinoma undergoing liver transplantation. Liver Transpl. 2015;21(1):101-111.
  12. Karagkounis G, Seicean A, Berber E. The impact of laparoscopic approaches on short-term outcomes in patients undergoing liver surgery for metastatic tumors. Surg Laparosc Endosc Percutan Tech. 2015;25(3):229-234.
  13. Kumar AM, Fredman ET, Coppa C, El-Gazzaz G, Aucejo FN, Abdel-Wahab M. Patterns of cancer recurrence in localized resected hepatocellular carcinoma. Hepatobiliary Pancreat Dis Int. 2015;14(3):269-275.

Schedule an Appointment Online

Call us for an Appointment

To find a digestive specialist for your needs, contact the Digestive Disease and Surgery Institute at 216.444.7000 (or toll-free 1.800.223.2273, ext. 47000)

Same-day Appointments

To arrange a same-day visit, call 216.444.7000

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

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