HAI pump treatment in the US besides MSKCC?

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kc1948
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Location: Shawnee, KS

HAI pump treatment in the US besides MSKCC?

Postby kc1948 » Thu Sep 14, 2017 12:24 pm

I've been researching the HAI pump after learning about it in the NCCN guidelines. I know it's an option at Memorial Sloan-Kettering. Are there other facilities in the US where HAI is an option?
Friend has cancer, not me
69 yo female with T4bN0M0, stage II
Dx Sep 2017, colon resection Oct 2017

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juliej
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Re: HAI pump treatment in the US besides MSKCC?

Postby juliej » Thu Sep 14, 2017 5:43 pm

I know OHSU Knight Cancer Institute in Portland, Oregon also offers HAI pump treatment. I believe there's a cancer center in California that does too. Maybe someone will chime in with the name.

https://ohsu.edu/xd/health/services/cancer/getting-treatment/services/liver-cancer/treatments/surgical-services.cfm

I'm an HAI pump patient so if you have any questions, please feel free to ask! I highly recommend it for liver mets! :D
Stage IVb, liver/lung mets 8/4/2010
Xelox+Avastin 8/18/10 to 10/21/2011
LAR, liver resec, HAI pump 11/2011
Adjuvant Irinotecan + FUDR
Double lung surgery + ileo reversal 2/2012
Adjuvant FUDR + Xeloda
VATS rt. lung 12/2012 - benign granuloma!
VATS left lung 11/2013
NED 11/22/13 to 12/18/2019, CEA<1

Stanfordmom
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Re: HAI pump treatment in the US besides MSKCC?

Postby Stanfordmom » Thu Sep 14, 2017 7:26 pm

Checked out Dr. Yuman Fong at The City of Hope in Southern California. he is a wondeful liver surgeon from MSKCC and I think he does HAI pump implant. Not sure which oncologist works with him on administering chemo.

Los I heard Dr. Carlos Corvera at UCSF Cancer Center in San Francisco still implant HAI pump occasionally and they still have a nurse practitioner who can administer HAI pump chemo if ordered by any doctor there.

Best wishes!

Sha
DX 4/2/2014 at 44, stage 4, mets liver and ovaries
Mom to 2 boys
Three surgeries, HAI pump and lots of chemo
fighting!

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JJH
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Re: HAI pump treatment in the US besides MSKCC?

Postby JJH » Fri Sep 15, 2017 12:26 am

juliej wrote:... I believe there's a cancer center in California that does too. Maybe someone will chime in with the name...

USC Center for Pancreatic and Biliary Diseases is one of them:
http://www.surgery.usc.edu/divisions/tumor/pancreasdiseases/web%20pages/laparoscopic%20liver%20surgery/HAI.html

Image
.
Penn Medicine (in Pennsylvania) also does it:
http://www.uphs.upenn.edu/surgery/Clinical/EOS/metastatic_liver_cancer.html
"The darkest hour is just before the dawn" - Thomas Fuller (1650)
●●●

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Robino1
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Re: HAI pump treatment in the US besides MSKCC?

Postby Robino1 » Fri Sep 15, 2017 2:46 pm

I have googled but I can't find anything that does the HAI pump in the Detroit area. I would like to find one around there since I have family I could stay with in that area.

Are there any around Detroit or even Ann Arbor?
At 54 2014 1st colonoscopy colon cancer detect
Colon resect margins clear. No chemo Stage II
2017
Distend abd, pain in intestines.
CT scan seeding & Ascites
Lap diag - cancer on the omentum
CEA 217; 219
FOLFOX started 6/17
CEA 202
8/29/17 CT melting of tumor.
Latest CT scan shows 2 new tumors and return of ascites.
CEA: (2017)9/30 -109; 10/12 -99.1; 11/4 -90.7; 11/30 -70.7; 12/14 -83.4; (2018)1/4 -73.3; 2/1-84.2; 89.2; 89.8; 88.5; 81.8: 93.5; 107; 119
BRAF V600e

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JJH
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Re: HAI pump treatment in the US besides MSKCC?

Postby JJH » Fri Sep 15, 2017 4:29 pm

Robino1 wrote:I have googled but I can't find anything that does the HAI pump in the Detroit area. I would like to find one around there since I have family I could stay with in that area.

Are there any around Detroit or even Ann Arbor?

Dr William D Ensminger in Ann Arbor did some HAI work back in 2002. He might know if there is anything going on in that area in Ann Arbor. Maybe you could try sending him an e-mail. Other than that, I can't find anything in the Detroit area.
https://medicine.umich.edu/dept/pharmacology/william-d-ensminger-md-phd
- - -
Western Pennsylvania and Ohio: UPMC Hillman Medical Center
http://hillman.upmc.com/cancer-care/surgical-oncology/koch-regional-cancer-therapy-center/treatments/hepatic-arterial-infusion
.
Cleveland Clinic, Ohio
https://consultqd.clevelandclinic.org/2017/04/hepatic-artery-chemo-infusion-hai-implantable-pump-colorectal-cancer-liver-metastases/

William D Ensminger, Ann Arbor
http://www.seminoncol.org/article/S0093-7754(02)50132-9/abstract
Last edited by JJH on Fri Sep 15, 2017 10:33 pm, edited 1 time in total.
"The darkest hour is just before the dawn" - Thomas Fuller (1650)
●●●

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Robino1
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Location: Florida

Re: HAI pump treatment in the US besides MSKCC?

Postby Robino1 » Fri Sep 15, 2017 6:01 pm

JJH wrote:
Robino1 wrote:I have googled but I can't find anything that does the HAI pump in the Detroit area. I would like to find one around there since I have family I could stay with in that area.

Are there any around Detroit or even Ann Arbor?

Dr William D Ensinger in Ann Arbor did some HAI work back in 2002. He might know if there is anything going on in that area in Ann Arbor. Maybe you could try sending him an e-mail. Other than that, I can't find anything in the Detroit area.
https://medicine.umich.edu/dept/pharmacology/william-d-ensminger-md-phd
- - -
Western Pennsylvania and Ohio: UPMC Hillman Medical Center
http://hillman.upmc.com/cancer-care/surgical-oncology/koch-regional-cancer-therapy-center/treatments/hepatic-arterial-infusion
.
Cleveland Clinic, Ohio
https://consultqd.clevelandclinic.org/2017/04/hepatic-artery-chemo-infusion-hai-implantable-pump-colorectal-cancer-liver-metastases/

William D Ensminger, Ann Arbor
http://www.seminoncol.org/article/S0093-7754(02)50132-9/abstract


Thank you for these. So it wasn't my lack of Google skills. ;)
At 54 2014 1st colonoscopy colon cancer detect
Colon resect margins clear. No chemo Stage II
2017
Distend abd, pain in intestines.
CT scan seeding & Ascites
Lap diag - cancer on the omentum
CEA 217; 219
FOLFOX started 6/17
CEA 202
8/29/17 CT melting of tumor.
Latest CT scan shows 2 new tumors and return of ascites.
CEA: (2017)9/30 -109; 10/12 -99.1; 11/4 -90.7; 11/30 -70.7; 12/14 -83.4; (2018)1/4 -73.3; 2/1-84.2; 89.2; 89.8; 88.5; 81.8: 93.5; 107; 119
BRAF V600e

Maddielolo
Posts: 140
Joined: Tue Apr 08, 2014 4:57 pm

Re: HAI pump treatment in the US besides MSKCC?

Postby Maddielolo » Fri Sep 15, 2017 11:54 pm

You want someone to implant it with experience. MSKCC, Fong at City of Hope, and Mayo at OHSU seem to be current options.

mpbser
Posts: 953
Joined: Wed Apr 19, 2017 11:52 am

Re: HAI pump treatment in the US besides MSKCC?

Postby mpbser » Sat Sep 16, 2017 7:43 am

Someone on my thread "meeting with liver surgeon tomorrow" suggested we look into the HAI pump. I read some of these links and it looks very interesting. I'm surprised and saddened that it isn't more widely available. It appears to be used primarily for "nonresectable" liver mets. My husband's liver mets are resectable, so I can imagine that insurance would not cover this treatment if he sought it.
Wife 4/17 Dx age 45
5/17 LAR
Adenocarcinoma
low grade
1st primary T3 N2b M1a
Stage IVA
8/17 Sub-total colectomy
2nd primary 5.5 cm T1 N0
9 of 96 nodes
CEA: < 2.9
MSS
Lynch no; KRAS wild
Immunohistochemsistry Normal
Fall 2017 FOLFOX shrank the 1 met in liver
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI 1 liver met
3/7/19 Resection & HAI
4/1/19 Folfiri & FUDR
5/13/19 HAI pump catheter dislodge, nearly bled to death
6-7 '19 5FU 4 cycles
NED

ldbenz
Posts: 12
Joined: Thu Nov 30, 2017 8:42 pm

Re: HAI pump treatment in the US besides MSKCC?

Postby ldbenz » Sun Dec 24, 2017 11:49 am

Dr. Ronald Dematteo, who was with MSKCC is now with UPenn. This just happened in July of 2017. He is now the Chair of the GI Division at UPenn.

I am treating with him with the intent of a HAI insertion.

While researching extensively where to treat, MSKCC did come up as the best but treating there would be too difficult. I think often, we want to meet with doctors that specialize in what we need but treating with them is sometimes too hard - geographically, logistically. I made the decision to treat at UPenn and was advised of Dr. Dematteo's arrival. I hit the jackpot. UPenn is only 45 minutes from my residence.

This is my third family bout with cancer (brother and sister) and both treated at UPenn. The Perelman Center across the street from the hospital has made it so much easier to treat there. The parking garage below is perfect and navigating around the entire building is easy. The cafe on the main level has awesome flatbread pizza!

I am planning on having systemic chemo administered via a local community hospital and if I have any ER type of issues, will go to the community hospital first then get transferred to UPenn.

From what I understand, infusion of the HAI will need to be done at Penn.

If it's not too late (I see this post/thread started in September, 2017), maybe you could consider. It took me a week to get an appointment with Dr. D.

I see you are in Florida. There is an airport out of West Trenton (Mercer Airport) that has very inexpensive flights. Penn is about 1/2 from that airport.


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