Wednesday, June 02, 2010

TACE

I've been sitting here reading through articles on benign soft-tissue neoplasms with hopes that I can add one of them to my differential of rhabdomyosarcoma for this boy that just came in yesterday with a completely asymptomatic lump. His biopsy is tomorrow and PET/CT is next week so we'll know by then what he's got...

TACE stands for transcatheter arterial chemoembolization. I'm looking after another young boy with a hepatoblastoma who received a portion of his chemotherapy via TACE. It is most often used in adults for hepatocellular carcinoma but we're hoping that it will have similar success in a pediatric population to allow for surgical resection. Combined with adjuvant chemotherapy, the survival rates following complete resection are as high as 89%.



I was talking to a friend of mine and he asked me if I found all this cancer stuff interesting. I told him that I did. He said he found it absolutely terrible hearing about all these kids suffering. It got me thinking. So far I've been absolutely fascinated by all the new things I'm learning in oncology that I haven't stopped to think how some people think this is all terrible while I'm finding it...terribly interesting? Have I become some sick, heartless robot?

I don't know why I watched this next video. It was the top hit when I typed 'hepatoblastoma' into YouTube. I think this girl resembles almost all of the kids that are seen on the oncology ward. They're all cute, they're all beautiful and they've all got cancer. I realize I'm not a robot and I just try really really hard not to think about what will happen to this boy if the TACE doesn't work.


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3 Comments:

Blogger Mike said...

Matt,

You're a hero. These kids (and future kids) will need someone who cares about them and can empathize, but beyond that are willing to give it their gusto and fight and give them a chance. These oncology kids are still kids and at the end of the day they need someone who will treat them as such.
Keep fighting hard Matt!

3:59 AM  
Anonymous Anonymous said...

It takes people like you to keep this kids as beautiful as they are. And there are survivors: Emily Garrett had a childhood diagnosis of hepatoblastoma, and made it through with a lot of medical help: http://www.mditv.com/blog/2010/06/11/surviving-hepatoblastoma-a-one-in-a-million-tale-of-overcoming-a-rare-childhood-cancer-pt-1/

2:13 PM  
Anonymous Drew Hanson said...

This is a little strange: I work for MDiTV, the organization that Emily Garrett (see link in above comment) shared her story of survival with. From the dialogue that began over her story from parents of children afflicted with hepatoblastoma it was realized that they all sought a community where they could come together and share their stories.

MDiTV is currently building that community and I am in the process of collecting more stories of support and hope. And I'm also reaching out to professionals that care for the children. Mr. Wong, I would love to include you in this community to some degree; whether it be a guest blog post, or maybe a Skype interview. Let me know what you think. I can be reached via email at drew@mditv.org. Thank you and God bless.

12:41 PM  

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