CION Cancer Clinics
Where TACE, TARE and embolisation are available in Telangana | CION Cancer Clinics
In Telangana, TACE and TARE are mostly done in larger Hyderabad hospitals that have an interventional radiologist, an angiography room and a liver team working together. TARE is available in fewer places because it also needs licensed nuclear medicine. This page explains what a centre needs, how the journey works from a district, and the questions to ask before you travel. CION Cancer Clinics’ surgical oncologists in Hyderabad can talk this through with you.
On this page
- Where in Telangana can you have TACE or TARE?
- What does a centre need to offer these procedures safely?
- Why is TACE easier to find than TARE?
- How does it work if you live outside Hyderabad?
- What do families often assume, and what is actually true?
- What should you ask a centre before you travel?
- What can this page not tell you?
- Common questions about finding a TACE or TARE centre
The short answer
Where in Telangana can you have TACE or TARE?
In Telangana, TACE and TARE are mostly done in larger hospitals in Hyderabad that have an interventional radiology team and a proper angiography room. TARE is offered in fewer places than TACE, because it also needs a nuclear medicine department licensed to handle radioactive material.
Why these procedures sit in a few big centres
TACE and TARE are not operations with a large cut. A thin tube is passed through an artery in the groin or wrist and steered to the vessel feeding the liver tumour. That needs a specialist doctor called an interventional radiologist, live X-ray imaging, and a liver team nearby in case something changes. Few district hospitals have all of these under one roof, so most families from outside Hyderabad travel for the procedure itself.
Why the name of the hospital matters less than you think
A family often starts by asking which hospital does it. The more useful question is which team is looking after the whole liver problem. Scans and blood tests come before the procedure, and follow-up scans and often repeat sessions come after it. A centre that plans all of that together usually serves you better.
This page does not list or rank hospitals. It explains what a centre needs and what to ask, so you can judge any centre you are sent to.Behind the procedure
What does a centre need to offer these procedures safely?
When you are weighing up a centre, these are the pieces that matter. You can ask about each one directly.
An interventional radiologist
This is the doctor who actually does TACE or TARE. They are trained to work inside blood vessels using X-ray guidance, rather than through an open cut. Ask whether they do these liver procedures regularly.
An angiography room
A special X-ray room, sometimes called a cath lab, where the doctor can watch the tube move through the arteries on a screen and see dye flowing into the tumour.
A normal X-ray or CT room cannot be used for this.A liver team that meets together
The decision is usually made by several specialists looking at the same scans and reports.
Usually includes
- A liver specialist (hepatologist)
- A surgical oncologist
- A medical oncologist
- The interventional radiologist
Nuclear medicine, for TARE only
TARE uses tiny radioactive beads, often called Y-90. The centre must be licensed to receive, store and handle them, and must do a planning scan before the actual treatment.
A ward and emergency cover
Many people stay in hospital for a short time afterwards. Fever, pain and sickness are common in the first days, so round-the-clock cover close to the angiography room matters.
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Why is TACE easier to find than TARE?
Travelling in
How does it work if you live outside Hyderabad?
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Collect every report first
Before anyone travels, gather the scan CDs and reports, liver blood tests and any biopsy report. The team needs the actual scan images.
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Ask for the reports to be reviewed
Many centres will look at reports sent ahead and tell you whether a visit is worthwhile. This can save a long journey for someone who is not yet suitable, or whose liver is not strong enough.
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The first visit to the liver team
Expect a consultation, fresh blood tests and sometimes a new scan. The case is then discussed by the team together. Plan for this to take more than one day, and bring the family member who helps make decisions.
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The procedure and a short stay
You will usually be admitted. Someone should stay with you and travel home with you afterwards.
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Follow-up, partly closer to home
A scan is usually repeated some weeks later to see how the tumour has responded. Blood tests in between can often be done at a local laboratory and the results shared with the team.
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Commonly believed
What do families often assume, and what is actually true?
TARE is not an upgrade of TACE. The two suit different situations, such as where the tumour sits and how the blood flows around it. The right procedure depends on your scans and liver tests, not on which one sounds newer or costs more.
Speed matters, but a date without proper planning does not help. If the liver team has not reviewed the scans and blood tests, ask for that first. A short wait for a joint decision is usually worth more than a rushed procedure.
Often it is not. There may be tests first, a planning visit for TARE, and repeat sessions later. Knowing this in advance helps you plan leave from work, money and who will travel with the patient.
Do not assume either way. Cover depends on the scheme, the diagnosis and the hospital being empanelled. Ask the hospital's scheme or insurance desk before admission, with your card and reports in hand.
Before you choose
What should you ask a centre before you travel?
- Who will actually do the procedure, and how often do they do it?
- Is my case discussed by a liver team, or seen by one doctor?
- Do you offer TACE, TARE or both, and why do you suggest this one for me?
- What tests must be done before, and can any be done near my home?
- How long is the stay, and who do we call if fever starts at home?
- Is the hospital empanelled for my scheme or my insurer?
Being straight with you
What can this page not tell you?
This page cannot tell you whether TACE or TARE is right for you, or whether you should have either. That depends on the type of liver tumour, its size and spread, how well your liver is working and your general health. Only a team that has seen your scans and blood tests can weigh that.
Who these procedures usually do not suit
They are generally not offered where the liver is already failing, for example with a lot of yellowing of the eyes or fluid in the belly. They may not suit someone whose main vein into the liver is blocked, or whose cancer has spread widely outside the liver. In those situations, travelling a long way for the procedure may not help, and another plan may be kinder.
Paying for it
Cost varies a great deal between centres and between TACE and TARE. Aarogyasri, CGHS, ECHS, EHS and cashless insurance can change what you pay out of pocket, so check your cover early. Our separate cost page gives indicative ranges.
If you are not sure where to start, call the helpline with the reports you have. We will help you reach the right specialist to talk it through.Questions we are asked
Common questions about finding a TACE or TARE centre
Can TACE be done in a district hospital in Telangana?
It is uncommon. The procedure needs an interventional radiologist, an angiography room and a liver team close by, and most district hospitals do not have all three. Your local doctor can still help a lot, by arranging blood tests, sharing reports and looking after you between visits to the specialist centre.
Does CION do TACE or TARE itself?
Please ask the helpline directly rather than relying on this page, because services and tie-ups change. What we can do is look at the reports you already have and help you reach a liver team that can decide whether either procedure makes sense for you.
Should we get a second opinion before the procedure?
Asking for one is reasonable and no good team will take offence. It is most useful when you are unsure why one procedure was chosen over another, or when you were told nothing can be done. Take the actual scan images, not only the written reports, so the second team can look for itself.
What should we bring on the first visit?
Bring every scan CD and report, all liver blood tests, any biopsy report and a written list of current medicines. Bring your Aarogyasri, CGHS, ECHS, EHS or insurance card. Do not stop any medicine before the visit unless the doctor who prescribed it has told you to.
How long will we need to stay in Hyderabad?
It varies. The first visit may take more than a day because of tests and the team discussion. After the procedure, most people stay in hospital for a short time. TARE usually needs two separate visits. Ask the centre for a rough plan so you can arrange leave and a place to stay.
Is TARE worth travelling further for?
Only if your liver team thinks it suits your situation better than the alternatives. For some tumours it does, and for others TACE or a different treatment is the better fit. Ask the team to explain why they are suggesting it, and what they would do if it were not available nearby.
Can follow-up be done closer to home?
Some of it, often. Blood tests can usually be done at a local laboratory and sent to the team. Follow-up scans may need to be done at the treating centre, or at a centre whose images the team can read properly. Ask about this before you leave hospital, not afterwards.
What if fever or pain starts after we get home?
Some fever, belly pain and feeling sick are common in the first days after embolisation. Before discharge, get a number to call at the treating centre. If the pain is severe, the eyes turn yellow, or the person becomes confused or very drowsy, go to the nearest emergency department the same day.
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Dr. C. Raghavendra Reddy
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MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)
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MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)
Dr. Muralidhar Muddusetty
MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)
Dr. Vinay Mamidala
MBBS, MS(General Surgery), M.Ch(Surgical Oncology), FMAS, FARIS(Ongoing)
Dr. Vajja Sandeep Kumar
MBBS, MS (General Surgery), DrNB (Surgical Oncology), FALS Oncology
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Accreditation and empanelment
- NABH
- NABL
- ISO 9001:2015
- ArogyaSri empanelled
- CGHS accepted
- ECHS accepted
- EHS accepted
- Major cashless insurers
Paying for it
Insurance, schemes and payment
What you actually pay usually differs a great deal from the sticker figure.
Where to find us
Our centres in and around Hyderabad
Addressed by landmark, because that is how this city navigates. A surgical consultation can be booked at any of these centres through one helpline, and your team will tell you where the operation itself takes place.
Sources
- American Cancer Society — Embolization therapy for liver cancer
- Cancer Research UK — Treatment for liver cancer
- National Cancer Institute — Liver cancer treatment (PDQ), patient version
- NICE — Selective internal radiation therapies for treating hepatocellular carcinoma (TA688)
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
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