What are the treatment choices for metastasis to the lungs or liver?
These two organs present some extreme challenges for both the patient and the doctor. Since there are no effective systemic treatments for ACC (chemotherapy type agents that are delivered through injection, orally or inhalation), there are a variety of treatment choices that are considered. Depending upon the tumor location, size, and involvement with the organ there may or may not be any good choices. Lungs and liver are critical organs for sustaining life and since they have a very high vascular element, treatments are complicated. Some options when considering conventional treatments are surgery, stereotactic radiosurgery (a type of pinpoint accurate radiation treatment), other types of targeted radiation and Radiofrequency Ablations (RFA). Some people have had several surgeries and/or radiation treatments to the lungs to keep the larger tumors reduced or removed. This particular issue of lung and liver mets is one of the most daunting challenges facing the ACC community.
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