GENERAL MEDICINE

Istituto Clinico Città di Pavia

key figures 

CLINICAL SERVICES:

  • Oncology clinic
  • Hepatology clinic 
  • Interventional oncology 

PROCEDURES PERFORMED PER YEAR:

  • 100 procedures of Radiofrequency and Microwave thermal ablation of liver cancers 
  • 600 systemic chemotherapies for solid tumours
  • 200 US-guided biopsies of liver, breast, lung and thyroid
  • 150 diagnostic contrast-enhanced US 
  • 300 procedures of paracentesis and thoracentesis
  • Around 50 patients treated by TACE 
  • 10 TIPS implanted 

The department carries out diagnosis and treatment of the main cancer diseases. In addition to standard chemotherapy treatments, it also performs loco-regional therapies of hepatic and renal tumors by TACE or percutaneous thermal ablation treatments.

 

treatments

Hepatocellular carcinoma and liver metastases 

Hepatocellular carcinoma and liver metastases are treated by loco-regional therapies. These treatments of primary and secondary liver tumours include: trans arterial hepatic chemoembolization (procedure performed in the angiographic room by the interventional radiologist), as well as intra-arterial hepatic chemotherapy. 
Interventional oncology activities: ultrasound-guided percutaneous ablative treatment of thermal ablation and alcoholization of primary and secondary hepatic neoplastic lesions.

Main Pathologies Treated: 

  • Oncologic diseases 
  • Hepatocellular carcinoma (HCC) 
  • Liver metastases 
  • Liver diseases

Top Procedures: 

  • Abdominal ultrasound
  • Liver ultrasound with contrast medium
  • MWA (Thermal ablation with microwave)
  • RFA (Radiofrequency Thermal ablation)
  • PEI (Percutaneous alcoholization)
  • TACE (Transcatheter arterial chemoembolization)
  • TIPS (Transjugular Intrahepatic Portosystemic Shunt)

Solid tumours 

Solid tumours are treated by systemic chemotherapies. The Unit provides diagnosis and treatment of the main solid neoplasms, with particular reference to the gastro-intestinal tract, liver and biliary tract, breast, lung, male and female genitourinary system.

Main Pathologies Treated: 

  • Solid haematological disorders

Top Procedures: 

  • Liver biopsies, abdominal, pulmonary, lymph node, cutaneous parenchyma
  • Fine needle aspiration of the liver, lymph node, soft tissues, thyroid, breast
  • Osteomidullary biopsies / needle aspirates

Decompensated liver cirrhosis

Treatment of decompensated liver cirrhosis and of related complications is also provided in the Unit, including ascites and portal hypertension.

Top Procedures: 

  • Paracentesis
  • Thoracentesis
  • Lumbar puncture 

 

NOTABLE ADVANCED TECHNOLOGICAL EQUIPMENT

  • HS Hospital Service AMICA GEN MWA ablation System
Featured physicians
- Montagna Benedetta
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