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Transplants | Last Active: Oct 24 12:37pm | Replies (445)

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@japv2001

I am 64,my meld score is 8, Drs.found a “lesion”concern to hepatocelular carcinoma measuring 3 cm.They recommended a liver transplant but first,a procedure to kill the cancer.My question is:Is more risky to kill the cancer and refuse a transplant than do the two things?.

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Replies to "I am 64,my meld score is 8, Drs.found a “lesion”concern to hepatocelular carcinoma measuring 3 cm.They..."

@japv2001 my husband had the same thing. He transplanted 2 months ago! The doctors at Mayo said that he could've just treated the cancer without the transplant, but there would be the possibility of the cancer returning. If it did, he would be back to the beginning. We decided that chemo embolization and transplanting was the best option for him/us. I hope this helps you make your decision.
Blessings,
JoDee

@japv2001 - I work with the physicians at Mayo Clinic in Minnesota and asked them your question. Our medical director of liver transplant says that every situation is a little different so it can be difficult to say what is the best option without seeing a patient in person with all their medical scans and information. Generally, both the transplant evaluation and the procedure to treat the cancer can be done around the same time. Not doing a transplant has the risk of leaving more cancers remaining in the liver if treatment is not 100% successful. The risk/benefit balance favors transplant in many circumstances. We would be happy to evaluate your situation and offer a second opinion if you would like to come to any of our Mayo Clinic sites, if you have not already been evaluated with us. Thanks!

@japv2001 I had malignant lesions also, and they were ablated before I had my transplant. From what I know, if the cancerous lesions increase beyond a certain size or number you are ineligible for a transplant so I would definitely have the lesion removed.
If you are up for a transplant I presume you probably have some form of cirrhosis, and if I understand it correctly there is no cure for cirrhosis beyond a transplant. Some people do manage to keep it at bay by following strict dietary guidelines but that does not work for everyone. I was very good about my diet but my cirrhosis did get worse and when they took it out and dissected it was almost spent so I was very fortunate to get a transplant when I did, which was sooner than anticipated.
JK