This patient hail from Thailand and went through both chemo and radiotherapy two years ago for nasopharyngeal cancer. However, the tumor progressed. Now the patient has a metastatic tumor in the liver. For single metastatic tumor, the most suitable treatment would be local ablation. But this patient faces a problem that his bone marrow is suppressed due to chemo and immunotherapy. It leads to low platelets values to 40,000/L which can't meet treatment standard.

We gave an injection with a platelet-raising drug before our treatment. After injection, it rose to 68,000/L. For this case which platelets are still lower than normal, we should choose microwave ablation. Microwave ablation suitable for patient whose platelets count is above 50,000/L thanks to its coagulation function. It can also reduce the risk of bleeding.