Percutaneous radiofrequency ablation combined with transcatheter arterial chemoembolization and percutaneous ethanol injection for recurrent small hepatocellular carcinoma / 南方医科大学学报
Journal of Southern Medical University
; (12): 1626-1628, 2006.
Article
em Zh
| WPRIM
| ID: wpr-232819
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the value of percutaneous radiofrequency ablation (PRFA) combined with transcatheter arterial chemoembolization (TACE) and percutaneous ethanol injection (PEI) in the management of recurrent small hepatocellular carcinoma.</p><p><b>METHODS</b>Between March 2001 and March 2005, 52 patients with recurrent hepatocellular carcinoma (tumor size< or =5 cm) underwent PRFA, and 14 of the patients (tumor size 3-5 cm) also received TACE and PEI, and their clinical data were analyzed retrospectively.</p><p><b>RESULTS</b>MRI or CT after PRFA revealed complete coagulative necrosis of the tumor in 38 cases (tumor size <3 cm). In the 14 patients (tumor size 3-5 cm) with also TACE and PEI, complete necrosis occurred in 11 cases (78.6%). In the patients involved in this study, the 1-, 2-, 3- and 4-year survival rates were 96.2%, 69.4%, 45.5% and 30.0%, respectively.</p><p><b>CONCLUSIONS</b>PRFA is an effective modality for local treatment of recurrent small hepatocellular carcinoma, capable of total elimination of tumors <3 cm. For tumors of 3-5 cm, combination with TACE and PEI may help increase the tumor necrosis rate following the ablation and raise the patients' survival rate.</p>
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Índice:
WPRIM
Assunto principal:
Patologia
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Terapêutica
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Protocolos de Quimioterapia Combinada Antineoplásica
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Estudos Retrospectivos
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Resultado do Tratamento
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Quimioembolização Terapêutica
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Ablação por Cateter
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Terapia Combinada
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Carcinoma Hepatocelular
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Usos Terapêuticos
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Journal of Southern Medical University
Ano de publicação:
2006
Tipo de documento:
Article