Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

121 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How effective is immunotherapy for treating liver cancer?

Answered by
Dr. Ivan R. Rommstein

General Surgeon

Practicing since :2008

Answered : 11334 Questions

Posted on Tue, 21 Mar 2017 in Cancer
Question: Does anyone know about immunotherapy for liver cancer? What options should we be looking for? My father-in-law has stage 3 hepatoma with a 6.8 tumor in the right lobe. We are looking for some alternative treatment options, outside of radioembolization-which is currently the only option we are being offered.
Answered by Dr. Ivan R. Rommstein 31 minutes later
Brief Answer:
see next

Detailed Answer:
Hi and welcome to HCM

I am sorry about your father and tis serious diagnosis. First, I must say that immunotherapy for this type of cancer doesnt show good result which are no better than other palliative measures such as chemotherapy or chemoembolization. There are some promising immunotherapy protocols such as Nivolumab and Sorafenib which are still no routinely used and require further clinical research. In every case, any palliative measure may just minimally slow the disease progression and surgical resection or liver transplantation are only procedure which may be curative or prolong his life for 1-2 years, This size tumor,is usually resectable and if he is in a good general condition ,then hemihepatectomy can be performed. Only if there is infiltration of portal vein , hepatic artery or vena cava, then this is inoperable. Also, some centres offer liver translantation for tumors up to 7cm... Wish you good health. Regards
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Ivan R. Rommstein 2 hours later
Thank you for you insight. He is currently at Mayo and since my previous question, they have come back to us with the Sorafenib option. So it is good to hear from another source on this. Could you recommend somewhere that offers the transplantation for tumors up to 7cm? We have an appointment at MD XXXXXXX in XXXXXXX TX next week. Anything new that we should be asking about or questioning as options would be greatly appreciated. Thank you!
Answered by Dr. Ivan R. Rommstein 16 hours later
Brief Answer:
follow-up consultation

Detailed Answer:
Hi again,

Will, it is hard to comment it precisely without findings and scan images. I am from Europe so I am not familiar with USA transplantation centers but here, we would consider transplantation if there are no extrahepatic metastasis and his cardiopulmonary condition is fine.

I believe that there is no better place than XXXXXXX for advice. Sorafenib has limited efficiency but it is worth of try. However, I must say that prognosis is poor and miraculous recovery is unlikely.

Good palliative care with treatment of pain and prevention of jaundice would ensure him good quality of rest of life and it would be also a satisfactory result.

Hope this helps

Wish you good health

Above answer was peer-reviewed by : Dr. Arnab Banerjee

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Treatment/Therapy ,  
Medical Procedures ,  
Medical Topics

Recent questions on  Chemoembolization

doctor1 MD

Dear Doctor, Kindly review the reports and suggest possible treatments and their approx. costs in XXXXXXX I also would like to know the chances of survival after the treatment. Thanks.

doctor1 MD

is there any hospital that will perform a liver transplant if the patinet does not meet the Milan Criteria? Hep c and HCC..resection of 3 cm tumor on Aug. 2, 2010. Cancer returned as 7 lesions..I round od chemoembolization. Scheduled for 2nd treatment Jan. 20 & Oral Nexavar.

doctor1 MD

My cousin has liver cancer that is 7 cm and confined to the liver. The only treatment recommended is chemotherapy . She will undergo chemotherapy twice a week for 6 hours each day every other week. Surgery was not offered as an option. Will this...

doctor1 MD

I got the news that my dad had a cancer by the end of April. He had been done twice transcatheter arterial chemoembolization(TACE)surgery in on Apirl and June, but the tumor still grows bigger from 34mm*38mm to 102mm*82mm. Could you please give us some advice?

doctor1 MD

I got the news that my dad had a cancer by the end of April. He had been done twice transcatheter arterial chemoembolization(TACE)surgery in on Apirl and June, but the tumor still grows bigger from 34mm*38mm to 102mm*82mm. Are there any better treatment you can recommend for us?

doctor1 MD

My father age 65 has daignoesd hcc tomor of 5cm in right lob of liver while checkup for preoprative surgery of cabg now we have done surgry of cabg his lft test os ok his afp tumer marker test is also ok dr hav \u00E4htl erh\u00E4lt suggested for tace therpy suggest what to do he has no siimtumes of liver related. Replay soon. YYYY@YYYY