This week's artwork was donated by Jaclyn, a pediatric cancer patient who received treatment at The Children's Hospital of Philadelphia . If the tumor is not resectable after four courses of chemotherapy, alternative therapies should be considered.
Radiation therapy followed by re-exploration if metastatic disease is controlled.
Chemoembolization by hepatic arterial infusion. Orthotopic liver transplantation if metastatic disease is controlled. Phase I or II clinical trials of chemotherapy. Therapy failed in 12 of 13 patients with stage IV disease. For additional information, refer to the PDQ summary on adult primary liver cancer.