However, only 20% of patients are suitable for surgery.
At 21, he was rejected as not suitable for surgery at the last minute.
One patient was found to be not suitable for surgery due to obstructed superior vena cava from large mediastinal nodes.
The indications for surgery included symptomatic tumors which are suitable for surgery and asymptomatic cases with evidence of tumor growth.
Currently, surgery is the only treatment although, due to its late presentation, only 9 15%% of the patients are suitable for surgery.
Based on the early results of the Placement of Aortic Transcatheter Valves (PARTNER) trial, transcatheter aortic valve replacement (TAVR) is an accepted treatment for patients with severe aortic stenosis who are not suitable for surgery.
Surgical excision can sometimes cure, but only one in five people is suitable for surgery because the size and location of tumors can make removal impossible without endangering the patient.
"Those suitable for surgery will have failed on at least two drugs and when we evaluate them, we should see that the seizures are coming from one small bit of the brain".
Surgical resection is regarded as a standard treatment for early NSCLC while radiotherapy has been offered to patients who are not suitable for surgery due to medically inoperable factors such as poor pulmonary function or severe cardiovascular dysfunction [1].
The necessity to offer a treatment to patients not suitable for surgery, and to spare the highest amount of normal renal parenchyma has pushed for the application of image-guided ablative techniques to renal cancer [15, 16] with reported good clinical results [17, 18, 19].
While the only curative therapy is surgical extirpation or liver transplantation, most patients with cholangiocarcinoma present with advanced stage disease, which is not suitable for surgery [2], [3].
