New KCC City Clinic —  New Baneshwor →
Image-Guided · Minimally Invasive · Daily

Interventional Radiology
for Cancer Care in Nepal

CT-guided and USG-guided biopsy every working day at KCC. Report in 3–5 days. For liver tumours, KCC offers Nepal's widest range of image-guided treatments - RFA, microwave ablation, and brachytherapy-ablation — matched to each patient's case.

Biopsy daily Report: 3–5 days Liver tumour ablation Brachytherapy-ablation PTBD Nephrostomy Embolization
KCC IR at a Glance
Daily
CT & USG-guided biopsy Every working day — no long wait
3–5
Days to biopsy report Histopathology + IHC. Molecular testing extra.
3
options
Liver tumour treatment RFA · Microwave ablation · Brachytherapy-ablation — Nepal's widest choice
~2h
Most procedures No general anaesthesia. Home same day.
Bring your CT/MRI scans, doctor's referral, and prior reports. IR is by appointment.
Jump to: FNAC / Biopsy Liver Tumour Ablation Options PTBD / PCN Ascitic Drainage Pain Relief Emergency IR Brachytherapy Our Team
Why Interventional Radiology Matters

Most cancer patients need IR at some point.
Many don't know it exists.

Interventional Radiology uses X-ray, ultrasound, and CT imaging to guide needles, catheters, and instruments to precise locations inside the body — without open surgery. In a cancer centre, IR is involved in diagnosis, treatment, pain management, symptom relief, and emergency care. At KCC, IR is not a separate department — it is integrated into every cancer patient's pathway.

Diagnosis
Tissue biopsy for histopathology, IHC, molecular testing
Treatment
RFA · Microwave ablation · Brachytherapy-ablation - Nepal's widest options
Palliation
Drainage, stenting — relief of jaundice, obstruction, fluid
Pain Relief
Nerve blocks — celiac plexus for pancreatic cancer pain
Support
Chemoport — reliable vascular access for chemotherapy
Emergency
Tumour embolization — stopping life-threatening tumour bleeding
Service 1 — Diagnosis

Image-Guided Biopsy in Nepal

CT and ultrasound-guided biopsy performed daily at KCC. The fastest route from a scan finding to a confirmed cancer diagnosis.

Biopsy report time at KCC
3–5
days

Histopathology + Immunohistochemistry (IHC)

Molecular testing — EGFR, ALK, HER2, PDL-1 — sent to accredited lab, timeline varies by test. Your oncologist will advise.

Book Biopsy
Image-Guided Biopsy Services
CT-guided · USG-guided · Performed daily · No general anaesthesia

A biopsy is the only definitive way to confirm cancer. At KCC, image-guided biopsy uses real-time CT or ultrasound to navigate a thin needle precisely into a tumour — no surgery, no hospital admission. The tissue obtained goes to pathology for histopathology, IHC, and molecular testing that your oncologist uses to plan treatment.

Thoracic (Chest)
  • CT-guided lung biopsy
  • Mediastinal mass biopsy
  • Pleural mass biopsy
Abdominal
  • USG-guided liver biopsy
  • Pancreatic mass biopsy
  • Retroperitoneal node biopsy
  • Adrenal mass biopsy
Superficial / Neck
  • Lymph node biopsy
  • Thyroid / neck mass biopsy
  • Soft tissue tumour biopsy
Bone & MSK
  • CT-guided bone biopsy
  • Vertebral lesion biopsy
  • Soft tissue mass biopsy
What the biopsy gives your oncologist: Histopathology (cancer type and grade), Immunohistochemistry (IHC — receptor status, tumour markers), and tissue for molecular tests (EGFR, ALK, HER2, PDL-1 etc.) that determine eligibility for targeted therapy and immunotherapy.
Book a Biopsy Dr. Bibek — IR Specialist
Service 2 — Treatment

Tumour Ablation — Destroying Cancer Without Surgery

For small, localized tumours — particularly liver, lung, and kidney cancers — ablation can be curative or used to control disease, without open surgery.

Ablation uses heat, radiation or chemical — delivered through a thin needle guided by CT or ultrasound — to destroy tumour cells in place. No surgical cut. Most patients go home the same day or after one night.

Radiofrequency Ablation (RFA)

Electrical energy heats and destroys tumour tissue. Most established ablation technique for liver cancer. Also used for lung and kidney tumours.

Liver (HCC) Liver metastasis Renal tumour Lung metastasis

Microwave Ablation (MWA)

Faster and capable of treating larger tumours than RFA. Particularly effective for liver tumours near blood vessels where RFA may be less reliable.

Liver (HCC) Lung Liver metastasis

Ethanol (Alcohol) Ablation

Pure alcohol injected directly into small thyroid nodules or liver lesions, causing cells to die. Simple, effective for selected cases.

Thyroid nodules Small liver lesions

When is Ablation Used?

Tumour not suitable for surgery
Patient has other conditions making surgery too risky, or tumour location makes resection difficult.
Small (<3–4 cm) solitary tumour
Ablation can be curative for small HCC, renal cell carcinoma, or lung metastasis.
Combined with surgery or systemic therapy
Used alongside resection to treat remaining lesions, or combined with embolization prior to resection.
Bridge to transplant
Controlling HCC while waiting for liver transplant eligibility assessment.
Not every tumour is suitable for ablation. Suitability depends on size, location, and number of lesions. KCC's multidisciplinary team decides this together.
Ask About Ablation
Service 3 — Liver Tumour Treatment

Liver Cancer: Nepal's Widest Range of Image-Guided Treatment

KCC is the only centre in Nepal offering all three image-guided options for liver tumours. The right technique is chosen for each patient — size, location, and liver function all guide the decision.

Only centre in Nepal with all 3 liver tumour options

RFA · Microwave Ablation · Brachytherapy-Ablation. No single technique works best for every case — which is why having all three matters. At KCC, the IR team and oncologists review each case together and choose the approach most likely to succeed.

Published Research
American Brachytherapy Society Journal
KCC's lung brachytherapy-ablation outcomes — validating our protocol at international peer-reviewed level.
Read the research
Radiofrequency Ablation
RFA

Electrical energy heats and destroys tumour tissue from the inside. The most established ablation technique — used worldwide for small HCC and liver metastases. Works best for tumours <3 cm away from major blood vessels.

Best suited for:
HCC ≤3 cm Liver metastases Renal cell Ca Lung tumours
Microwave Ablation
MWA

Faster and reaches higher temperatures than RFA. Particularly effective for larger tumours (3–5 cm) and for tumours near blood vessels where the "heat-sink effect" limits RFA's reach. Creates a more predictable, larger ablation zone.

Best suited for:
HCC 3–5 cm Near blood vessels Lung metastases Multiple sessions
Brachytherapy-Ablation
IR + Radiation · KCC Specialist Programme

A combined approach unique to KCC in Nepal — IR precisely positions brachytherapy catheters into or adjacent to the tumour, then high-dose radiation is delivered directly to destroy it. Ideal for tumours not suitable for thermal ablation due to location or prior treatment history.

Best suited for:
Liver — unresectable Lung tumours After failed RFA/MWA Central, Peri-hilar location
How KCC chooses the right technique for your liver tumour
Tumour size
Small (<3 cm) → RFA. Medium (3–5 cm) → MWA or brachy. Larger or multiple → brachy-ablation or combination.
Location
Near vessels → MWA (avoids heat-sink). Perihilar or close to biliary system → brachytherapy-ablation.
Liver function
Cirrhotic liver, Child-Pugh score, and remaining liver volume all guide what the patient can safely tolerate.
Prior treatment
Recurrence after RFA or MWA → brachytherapy-ablation offers a new approach where thermal techniques have already been tried.
Send your scan for review About Brachytherapy-Ablation
Service 4 — Palliative IR

PTBD, PCN & Drainage — Procedures That Change Everything

A patient with jaundice from bile duct obstruction cannot receive chemotherapy. A patient with obstructed kidneys faces renal failure. Tense ascites makes breathing impossible. These IR procedures don't cure cancer — but they restore the possibility of treatment and make daily life liveable again.

PTBD — Percutaneous Transhepatic Biliary Drainage
Jaundice relief · Biliary stenting · Pre-operative preparation

When tumour blocks the bile duct, bile accumulates in the blood — causing jaundice (yellowing of skin and eyes), intense itching, dark urine, and progressive liver dysfunction. Patients with significant jaundice often cannot receive chemotherapy, and may not be fit for surgery.

PTBD places a thin drainage catheter through the skin and liver directly into the bile duct, bypassing the obstruction. Jaundice begins to resolve within days — often restoring a patient's eligibility for systemic treatment.

External drain (PTBD) — initial drainage, bilirubin normalises within 1–2 weeks
Internal-external drain — allows internal bile flow while maintaining external access
Biliary stenting — permanent internal stent placed to keep the bile duct open long-term without an external drain
Cholangiocarcinoma Pancreatic cancer Gallbladder cancer Liver metastases Hilar obstruction
Ask About PTBD
How PTBD is done
1
Ultrasound used to identify dilated bile ducts and plan needle entry point
2
Under local anaesthetic, thin needle passed through skin and liver into bile duct
3
Contrast injected to map biliary anatomy (cholangiogram)
4
Drainage catheter placed and secured — bile drains immediately
5
Stent placed at a later date to internalise drainage when appropriate
Early PTBD can make a jaundiced patient eligible for chemotherapy or surgery that was previously not possible. Do not delay referral.
PCN — Percutaneous Nephrostomy
Ureteric obstruction · Kidney protection · Bilateral PCN

Pelvic and abdominal tumours — particularly cervical cancer, rectal cancer, and bladder cancer — can compress or invade the ureters (tubes draining the kidneys). The result is hydronephrosis (kidney swelling) and progressive renal failure. Patients with poor kidney function cannot receive cisplatin-based chemotherapy.

PCN (Percutaneous Nephrostomy) places a drainage tube directly through the skin into the renal pelvis under ultrasound guidance, immediately relieving the obstruction and protecting the kidney.

Unilateral PCN — single obstructed kidney
Bilateral PCN — both ureters blocked, emergency kidney preservation
Ureteric stenting (DJ stent) — internal stent placed to keep the ureter open
Cervical cancer Bladder cancer Rectal / sigmoid cancer Ovarian cancer Pelvic recurrence
Ask About PCN
When PCN is urgent
Rising creatinine in a patient with bilateral ureteric obstruction — emergency PCN can prevent permanent renal failure
Patient scheduled for cisplatin-based chemotherapy with impaired renal function — PCN to improve GFR before starting
Infected obstructed kidney (pyonephrosis) — drainage is life-saving
Ascitic Drainage (Paracentesis)
Malignant ascites — abdominal fluid

Malignant ascites — fluid accumulating in the abdomen due to peritoneal metastases or lymph node disease — causes a distended, painful, breathless abdomen. Ultrasound-guided paracentesis drains the fluid rapidly under local anaesthesia, providing immediate relief.

Single drainage — for acute relief (2–6 litres removed)
Tunnelled peritoneal drain — semi-permanent drain placed for patients who reaccumulate fluid rapidly (drain at home)
Diagnostic tap — fluid sent for cytology and culture
Ovarian cancer Gastric cancer Colorectal mets Liver failure / HCC
Ask About Ascitic Drainage
Pleural Effusion Drainage
Malignant pleural fluid — breathlessness relief

Malignant pleural effusion — fluid around the lungs — causes progressive breathlessness, reduced exercise tolerance, and worsening quality of life. USG-guided thoracocentesis drains the fluid, immediately improving breathing capacity.

Thoracocentesis — single needle drainage under USG guidance
Intercostal drain (ICD) — for large or rapidly accumulating effusions
Tunnelled pleural catheter — for recurrent malignant effusion managed at home
Lung cancer Breast cancer Lymphoma Mesothelioma
Ask About Pleural Drainage
Service 5 — Pain Management

Celiac Plexus Block — Relief from Pancreatic Cancer Pain

Pancreatic cancer pain is among the most severe in oncology. A celiac plexus block can dramatically reduce it — in a single image-guided procedure.

The celiac plexus is a network of nerves in the upper abdomen that transmits pain signals from the pancreas, liver, and other abdominal organs. In pancreatic cancer, these nerves are often compressed or infiltrated by tumour — causing severe, constant abdominal pain that is difficult to control with oral pain medication alone.

A CT or USG-guided celiac plexus block (or neurolysis) injects alcohol or a local anaesthetic into this nerve network under precise image guidance. The procedure disrupts pain transmission — often reducing the need for high-dose opioids and improving quality of life significantly.

Celiac plexus block is indicated for upper abdominal cancer pain — most commonly pancreatic cancer, but also used for gastric, hepatic, and biliary malignancies. It is often combined with systemic pain management and palliative care.
Ask About Pain Management
Service 6 — Emergency

Emergency Interventional Oncology

Tumour bleeding is a life-threatening emergency. IR's ability to embolize (block) bleeding vessels can be faster and safer than emergency surgery.

Tumour Bleeding Embolization
Emergency haemorrhage control

Tumours can bleed suddenly and severely. Embolization threads a catheter to the feeding artery and blocks it — stopping bleeding without major surgery. Often faster and safer in a critically ill cancer patient.

Liver tumour rupture GI tumour bleeding Renal tumour bleeding Pelvic tumour haemorrhage
Abscess & Fluid Drainage
Infected & necrotic tumour management

Tumour necrosis and post-treatment collections can become infected, forming abscesses. Image-guided drainage drains the infection without surgery — a critical intervention for patients who may not tolerate an operation.

Liver abscess in cancer Pelvic abscess Post-ablation collections
Advanced IR Services Also Available
Portal vein embolization — before major liver surgery to increase remnant liver volume Tumour embolization — pre-operative devascularization before resection
IR + Brachytherapy Collaboration

Image-Guided Brachytherapy
for Liver & Lung Cancer

KCC runs an active brachytherapy programme in collaboration with a dedicated brachy team. Image-guided brachytherapy delivers high-dose radiation directly into or adjacent to a tumour through a needle or catheter — precisely positioned by IR — targeting cancers of the liver and lung that are not suitable for surgery or external radiotherapy alone.

This is a specialist service combining IR precision with radiation oncology expertise — and it is available in Nepal at KCC.

Liver & Lung Brachytherapy Research Summary
How IR Enables Brachytherapy

Image-guided catheter placement

IR precisely positions brachytherapy catheters or needles inside or adjacent to the tumour under CT/USG guidance.

Radiation source delivered

High-dose radiation delivered directly to the tumour — sparing surrounding normal tissue more effectively than external beam.

For unresectable tumours

Liver and lung tumours not suitable for surgery or RFA — brachytherapy offers a treatment option where few others exist.

An active and growing programme — see KCC's brachytherapy research outcomes
The IR Team

KCC Interventional Radiology Specialists

Specialist-trained in interventional radiology — performing image-guided procedures within KCC's multidisciplinary oncology team.

Interventional Radiology

Dr. Sundar Suwal

Consultant Radiologist

Specialist in image-guided biopsy, liver and lung tumour ablation. PCN/PTBD
Biopsy Brachy-Ablation PTBD
Profile coming soon
Interventional Radiology

Dr. Bibek Nepal

Interventional Radiologist

Fellowship at MAX Hospital, India — advanced interventional radiology with specialist oncology IR experience
CT-guided Biopsy Embolization Ablation
View Profile
Before Your IR Appointment — What to Bring
Your CT/MRI/PET scans — bring the images and reports
Doctor's referral letter specifying the procedure needed
Recent blood tests — CBC, coagulation (PT/INR), creatinine
Bring a companion — most patients can go home the same day
Common Questions

Interventional Radiology — FAQ

Yes. CT-guided and USG-guided biopsies are performed every working day at Kathmandu Cancer Center (KCC). No need to travel to India for a biopsy. The biopsy report — including histopathology and IHC — is typically ready within 3–5 working days.
At KCC, standard biopsy reports (histopathology + immunohistochemistry) are ready in 3–5 working days. Molecular tests — EGFR, ALK, HER2, PDL-1, KRAS — are sent to an accredited molecular lab and may take longer. Your oncologist will advise on the specific tests needed for your cancer type.
KCC Nepal is the only centre in Nepal offering all three image-guided liver tumour treatment techniques: Radiofrequency Ablation (RFA), Microwave Ablation (MWA), and Brachytherapy-Ablation. No single technique is best for every patient — the right choice depends on tumour size, location, proximity to blood vessels and bile ducts, and prior treatment history. KCC's IR and oncology team reviews each case together to select the most suitable approach. KCC's brachytherapy-ablation work is published in the American Brachytherapy Society Journal. Send your scan to WhatsApp or call 01-5091629 for a case review.
PTBD (Percutaneous Transhepatic Biliary Drainage) is performed when a tumour — most commonly cholangiocarcinoma, pancreatic cancer, or gallbladder cancer — blocks the bile duct, causing jaundice. A drainage tube is placed through the skin into the bile duct under image guidance, bypassing the blockage. Jaundice often improves within days, making patients fit for chemotherapy or surgery that was previously too risky. PTBD can be followed by biliary stenting to keep the duct open permanently.
PCN (Percutaneous Nephrostomy) is a drainage tube placed directly into the kidney through the skin under ultrasound guidance. It is needed when a pelvic or abdominal tumour — most commonly cervical cancer, bladder cancer, or rectal cancer — compresses the ureter and blocks urine flow from the kidney, causing hydronephrosis and kidney damage. Bilateral PCN (both kidneys) is an emergency procedure when renal failure is imminent. PCN often restores kidney function enough to allow chemotherapy to restart.
Most IR procedures are performed under local anaesthesia with sedation if needed — not general anaesthesia. A biopsy takes 20–30 minutes and most patients describe it as mild pressure. Drainage procedures take 30–60 minutes. Most patients go home the same day or after one night. The IR team explains exactly what to expect before every procedure.
हो, काठमाडौं क्यान्सर सेन्टर (KCC) मा CT-guided र USG-guided biopsy दैनिक रूपमा गरिन्छ। बायोप्सी रिपोर्ट ३–५ कार्यदिन भित्र तयार हुन्छ। PTBD, PCN, Ascitic drainage तथा अन्य सबै interventional radiology सेवाहरू KCC Nepal मा उपलब्ध छन्। अधिकांश बिरामीलाई भारत जानु जरुरी छैन। थप जानकारीका लागि: 01-5091629
Related Services at KCC
Image-Guided · Minimally Invasive · Nepal

Need a biopsy, PTBD, liver ablation, or drainage procedure?

Biopsy every working day. Report in 3–5 days. Full IR oncology services at KCC — without travelling abroad.

Book on WhatsApp 01-5091629

KCC — Tathali, Nala Road, Bhaktapur · OPD 9 AM – 6 PM daily

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