Has anyone out there tried Histotripsy for tumors in the liver?

Posted by ssf @ssf, Aug 27, 2024

Has anyone out there tried Histotripsy for tumors in the liver? What were the results, where was it done, and most importantly did your insurance pay for it, or did you have to come out of pocket for the procedure?

Interested in more discussions like this? Go to the Liver Cancer Support Group.

@jiangmx24

Just a quick update about my consultation for Histotripsy. I visited IR doctor at UChicago Medical Center, and the doctor used a portable Ultrasound device to check the positions of my tumors. The conclusion was that it is not suitable for me, since the tumors are located behind my ribs, which block the ultrasound to reach the tumors. The doctor recommended Y90 to me instead. Does anyone have a recommendation for the good hospital for Y90 procedure, or there is not much difference between hospitals? Thanks in advance!

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Hello @jiangmx24,

I appreciate your update regarding the consultation for Histotripsy. It sounds like you received a new treatment option.

Your question about the best hospital for this procedure is an important one to consider. Generally, speaking multi-disciplinary medical systems like Mayo Clinic or a university medical school are good options. These types of health care institutions are generally research-oriented and have good techniques for special procedures. If you would like an appointment at Mayo Clinic here is a link with appointment information, http://mayocl.in/1mtmR63.

Here are some discussions on Mayo Clinic about the Y-90 treatment for tumors in the liver.
https://connect.mayoclinic.org/discussion/y90-pain/
--Y-90 liver cancer treatment:
https://connect.mayoclinic.org/discussion/y-90-liver-cancer-treatment/
I would be interested in learning how you proceed with this decision. Will you continue to post as you make a decision?

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I had mentioned it to my Dr. and he recommended for my situation a PRRT treatment. ( Lutathera). Had my first treatment a week ago..

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@hopeful33250

I agree that it would be great to hear from someone who had this procedure, @jiangmx24. However, it is difficult given the fact that this procedure is relatively new.

I would be very interested in hearing about your consultation after your appointment in December. Will you post again?

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Just a quick update about my consultation for Histotripsy. I visited IR doctor at UChicago Medical Center, and the doctor used a portable Ultrasound device to check the positions of my tumors. The conclusion was that it is not suitable for me, since the tumors are located behind my ribs, which block the ultrasound to reach the tumors. The doctor recommended Y90 to me instead. Does anyone have a recommendation for the good hospital for Y90 procedure, or there is not much difference between hospitals? Thanks in advance!

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@stevie17

No update. MRI and CT scan on 12/10.

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Regarding Histotriptsy will know evaluation in a few weeks per Cleveland Clinic. Will let you all know when I know more.

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@colleenyoung

No update. MRI and CT scan on 12/10.

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@stevie17

I will keep the group informed. I’ve had surgery, failed ablation, Y90 and now on immunotherapy, Keytruda. All since April when I was diagnosed with HHC. First call is with RN on Monday at 1pm ET.

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@stevie17, any update?

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@dbamos1945

Re: @stevie17: My good, positive thoughts are with you for Monday’s consult with RN. I hope you pass their evaluation and they will schedule Histrotripsy in near future… if this procedure meets your “ risk level vs. resolution response”! Your best health is primary- you can get 2nd opinion if you need to.
Best outcomes for you, Bette

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I'm in the UK and enquired about histotrypsy which was under a trial, now ended, at a leading hospital. It is not generally available yet in the UK. This was prior to my liver resection which was done successfully on 16 August (3 small tumours removed plus my gall bladder) from which I have made an excellent recovery - still the possibility of chemo but looking unlikely at present. (An MRI yesterday and a meeting next week with my oncologist will determine whether or not chemo is necessary.)
The consultant responsible for the histotrypsy trial advised me as follows:
'I have to say that I would opt for thermal ablation where possible if I needed treatment on liver mets ( or resection depending on size or location). Your team is experienced and have thermal ablation options should you need them.'
I'm not sure what to make of this - perhaps all will become clear when the results of the trial are published. Given the pressure on public finances it might be that there is no budget yet to adopt histotrypsy in the UK. It sounds as if it is already available in various parts of the US and I hope it proves of benefit to those needing treatment.

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Re: @stevie17: My good, positive thoughts are with you for Monday’s consult with RN. I hope you pass their evaluation and they will schedule Histrotripsy in near future… if this procedure meets your “ risk level vs. resolution response”! Your best health is primary- you can get 2nd opinion if you need to.
Best outcomes for you, Bette

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@dbamos1945

@stevie17: We are all waiting to learn the results of your consultation for Histrotripsy therapy. Please inform us of your experiences! We are anxious to learn from one of us.
Bette

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I will keep the group informed. I’ve had surgery, failed ablation, Y90 and now on immunotherapy, Keytruda. All since April when I was diagnosed with HHC. First call is with RN on Monday at 1pm ET.

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@stevie17: We are all waiting to learn the results of your consultation for Histrotripsy therapy. Please inform us of your experiences! We are anxious to learn from one of us.
Bette

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