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Liver Tumor Clinic

The Liver Tumor Clinic at Dartmouth-Hitchcock is the only clinic of its kind in New Hampshire, Vermont and Maine.  The goal of this clinic is to allow patients with primary liver lesions (cancerous or non cancerous) to be seen and evaluated by care providers from all the specialties necessary to make a diagnosis and treatment plan in one trip to Dartmouth in almost all cases.

Liver Tumor Referrals

Referrals are reviewed by our nurse coordinator prior to appointments and appropriate imaging and labs are obtained from referring institutions or ordered at DHMC as needed.  The patient is scheduled to see a hepatologist in the morning.  The case, imaging and labs are reviewed with the full team at noon. The patient returns in the afternoon for discussion of the plan recommended by the Tumor Clinic Team.

Liver Tumor Interdisciplinary Approach

The Liver Tumor Clinic's interdisciplinary approach helps to ensure that difficult diagnoses and treatment options are shared appropriately with patients and their families.  The clinic includes specialists in hepatology, hepatobiliary & transplant surgery, medical and radiation oncology, interventional radiology, nutrition and palliative care.  The team focuses on patients with liver tumors, benign or malignant, along with end stage liver disease and recurrent liver cancer.  We offer patients the most effective treatment options, symptom management, and supportive care.  For patients with hepatocellular carcinoma we offer evaluation for liver transplantation.

Liver Tumor Treatments

Through the use multi-focused techniques, patients with primary liver tumors can experience long-term survival and may even be cured. These techniques include minimally invasive treatments such as laparoscopic liver resections and radiofrequency ablation (RFA), targeted chemotherapy and radiation (chemo and radio-embolization), as well as curative treatments such as surgical resection and transplantation.