GASTROINTESTINAL CANCER PROCEDURES

Radiology Associates, PC (RAPC)

– Ablation: Microwave Ablation, Cryoablation – Treatment of tumors of the liver, kidney, lung, bone.

– Embolization: Therasphere (coming soon), Chemoembolization – Treatment of tumors of the liver.

– Blood Clot Removal – Malignancies can cause overactive blood clotting. If a clot occurs it can be treated with blood thinners or, in some cases, in addition with removal of the clot.

– IVC Filter Placement – In some cases, a filter may be necessary for protection against clot migration into the lungs, known as pulmonary embolus.

– Pain Management Injections – Nerve blocks, i.e. Celiac Plexus Block

– Kyphoplasty, Vertebroplasty – Treatment of osteoporotic or malignant spinal compression fractures.

– Chemotherapy Venous Access Port Implantation

– Biopsy

– Fluid Drainage – Relief of malignant abdominal and pleural fluid.

– Bile Duct Stenting, Percutaneous Biliary Drainage – Relief of malignant bile duct obstruction causing jaundice.

– Therasphere (also known as Y90 or Yttrium-90, Trans-arterial radioembolization or radioembolization).

Eugene Gastroenterology Consultants (EGC)

– Endoscopic ultrasound (EUS)

– Endoscopic retrograde cholangiopancreatography (ERCP)

– Esophageal/Colon/Biliary stenting

– Gastrostomy tube (G-tube) insertion/feeding tubes

– Radiofrequency ablation (RFA) for Barrett’s esophagus with dysplasia

– Colonoscopy/colon cancer screening

– Screening for Barrett’s esophagus

– SB pill cam, chromoendoscopy (for IBD surveillance)

Pathology Consultants, PC

Genetic Testing, including:

– Mismatch repair testing for Lynch screening and therapy guidance in colorectal carcinoma.

– Her-2/neu testing for gastric carcinomas.

– Testing for PD-L1, extended KRAS testing for selected gastrointestinal carcinomas.

Willamette Valley Cancer Institute and Research Center

Average number of patients per year:

– Upper GI/Esophageal – 83.33

– Pancreatic – 62

– Colorectal – 176.33

Procedures:

– 3D Conformal Radiation

– Intensity Modulation Radiation Therapy (IMRT)

– Volumetric Modulated Arc Therapy (VMAT)

– Image Guided Radiation Therapy (IGRT) with KV Images or Cone Beam CT Scan

– Stereotactic Body Radiation Therapy (SBRT)