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The Group

History

In the beginning, Prof. Ahmed Eldorry in 1988 had preformed the first case of Transarterial Chemoembolization for hepatocellular carcinoma in Egypt in the interventional radiology unit of Ain Shams University Hospital. After almost 10 years, he also preformed the first case of Radiofrequency Ablation in Egypt in the same unit as well. On the other hand, in 2002 Prof. Mohamed Kamal Shakerdecided to start Radiofrequency Ablation for HCC patients in Tropical Medicine department of Ain Shams University.

This situation encouraged the dean of the faculty of medicine to ask both sides to meet together and discuss the situation to prevent the duplication of the medical service in the hospital. During those meetings, Prof. Shaker reminded Prof. Eldorry that the interventional radiologists were in need for the experience of hepatologists in many of their cases during 13 years. At the same time, Prof. Eldorry convinced Prof.Shaker that he will need the experience of interventional radiologists in the future as well. Finally after intensive negotiations, both sides became convinced that they had to COOPERATE together and not to COMPETE each other, consequently they decided to establish Ain Shams University HCC Unit as a single unit including interventional radiologists and hepatologist from Tropical Medicine department.

Since that time the staff of the HCC unit started to perform their work via three parallel lines (HCC clinic, weekly HCC meeting and loco-regional management).
By time the staff of the unit recognised that there are other medical specialities still required to accomplish the proper panel of decision making and the proper management. Therefore they decided to establish a scientific multidisplinary group called the Hepatoma Group which includes hepatologists, interventional radiologists, surgeons, oncologists and pathologists.

Workup scenario for HCC patients

Out patient clinics:

  • Chronic liver disease clinic: for HCC screening.
  • Clinic for new HCC patients.
  • Clinic for follow up of HCC patients after management.

Weekly meeting:

Every Monday, after the end of the clinic, members of our multidisplinary team meet at 12 pm to discuss the cases seen in the clinic and take the decisions for proper management according to our protocol.

Available decisions:

Most of the recent different interventional modalities are available to such as:

  • A) Medical:
    • Medical management for the liver condition.
    • Medical treatment for HCC.
  • B) Interventional:
    • Percutaneous Ethanol Injection (PEI).
    • Radiofrequency Ablation (RFA).
    • Microwave Ablation.
    • Transarterial Chemoembolization (TACE).
    • Transarterial Radioembolization.
  • C) Surgical:
    • Surgical resection.
    • Liver Transplantation.

Inpatients care:

This part is completely managed in the Tropical Medicine department including:

  • Pre treatment preparation of the patients.
  • Post treatment care and medications.
  • Palliative symptomatic management for terminal patients.