Liver Cancer Treatment | Apollo Cancer Centres

Hepatectomy - Surgery to remove the tumor. If the liver function is good and the tumor is localized, surgery can be performed to remove part of the liver.
Laparoscopic and Robotic surgery - These can be performed to remove liver tumors in selective patients. The duration of stay in the hospital is reduced.
Liver transplant surgery - It is usually an option only in patients with early-stage liver cancer. The diseased liver is removed and replaced with a healthy liver from a donor.

This treatment uses high-powered energy from sources such as X-rays to destroy cancer cells and shrink tumors. The energy is directed to the liver while sparing the surrounding healthy tissue.
SBRT - Liver malignancies, either primary (hepatocellular carcinoma) or secondary (metastasis) can be controlled with an advanced technique called Stereotactic Body Radiotherapy using CyberKnife or Linear Accelerator.
Proton therapy - It is a modern Radiotherapy technique in which liver tumors can be treated successfully with minimal dose to the surrounding normal tissues.
Ablative procedures - These are done in patients with liver cancer where surgery is not an option. RF ablation uses electric current to heat and destroy cancer cells. Using an Ultrasound/CT scan guidance, one or more thin needles are inserted into the abdomen. When the needles reach the tumor, they are heated with an electric current, destroying the cancer cells. Other procedures like Microwave ablation use microwaves to heat the cancer cells.
Trans Arterial Chemoembolization (TACE) - It is a procedure where chemotherapy drug is directly administered into the liver through specially placed catheters.
Trans Arterial Radiotherapy with Yttrium spheres - Placing radioactive beads in the liver. Tiny spheres that contain radioactive material are placed in the liver, where radiation can be directly delivered to the tumor.

Chemotherapy
Chemotherapy uses drugs to kill rapidly growing cells, including cancer cells. However, in liver cancer, chemotherapeutic agents are used in loco regional disease through TACE. In advanced diseases, chemotherapy has a very limited role.
Targeted drug therapy
Targeted drug treatments focus on specific abnormalities present within cancer cells. Targeted drug treatments can kill cancer cells by blocking these abnormalities. Many targeted drugs are available for treating advanced liver cancer. Some targeted therapy can be used as the first line of treatment for advanced liver disease.
Immunotherapy Immunotherapy uses your immune system to fight cancer. Your body’s disease-fighting immune system may not attack your cancer because the cancer cells produce proteins that blind the immune system cells. Immunotherapy works by interfering with that process.
Immunotherapy treatments are generally reserved for people with advanced liver cancer. In advanced liver cancer, immunotherapy can be used alone, or in combination with another immunotherapeutic agent or in combination with targeted therapy.