Technique and early outcome of RFA in treating HCC at the Radiology Department Bach Mai, Hanoi
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Abstract
SUMMARY
Hepatocellular carcinoma (HCC) management has become varied with different ways, which are applicable for different stages of the disease. Hepatic resection forms part of the conventional treatment for patients with the disease; however, the majority of primary liver cancers are not suitable for curative treatment at the time of diagnosis. Local curative therapy is getting more and more used. Radiofrequency ablation (RFA) is the first line indication for
inoperable patients.
Objective: To describe techniques and early outcomes of
RFA in treating HCC patients at Radiology Department, Bach Mai
Hospital, Hanoi.
Method: descritive, retrospective, from 4/2010 to 12/2012 on 43 patients; image-guided techniques were used to treat the
patients and evaluate results.
Findings: male/female=35/8, average age = 54.5 (36-76), commonest tumor size is 3-5 cm (80%), majority of the patients had Child A (95%) and infected with HBV (98%); ultrasound imaged and cluster needles were performed on 77% and 80% respectively; post-intervention status was stable and without complication on 100% of the patients; 1-year and 2-year suvival rates were 95% and 88% correspondingly, of whom local recurrence appeared in two cases after five months and one case after one year.
Conclusion: RFA in HCC management is safe and effective at the Radiology Department at Bach Mai Hospital, even in complicated cases.
Article Details
References
1. Alejandro Forner, Marıa E. Reig, Carlos Rodriguez de Lope (2010), “Current Strategy for Staging and Treatment: The BCLC Update and Future Prospects”, Semin Liver Dis, 30: 61–74.
2. Riccardo Lencioni, Laura Crocetti, Maria Clotilde Della Pina, Dania Cioni (2009), “Percutaneous imageguided radiofrequency ablation of liver tumors”. Abdom
Imaging, 34: 547–556.
3. Young Jun Kim, Steven S. Raman et al (2008), “Radiofrequency Ablation of Hepatocellular Carcinoma:Can Subcapsular Tumors Be Safely Ablated?”, AJR:190, April.
4. Toshiya Shibata, Hiroyoshi Isoda, Yusuke Hirokawa (2009), “Small Hepatocellular Carcinoma: Is Radiofrequency Ablation Combined with Transcatheter Arterial Chemoembolization More Effective than Radiofrequency Ablation Alone for Treatment?”, Radiology, Volume 252: Number 3 - September.
5. Koichiro Yamakado, Atsuhiro Nakatsuka et al (2008), “Early-Stage Hepatocellular Carcinoma: Radiofrequency Ablation Combined with Chemoembolization versus Hepatectomy”. Radiology: Volume 247: Number 1 - April.
6. Shiu Kong Kei, Hyunchul Rhim, Dongil Choi et al (2008), “Local Tumor Progression After Radiofrequency Ablation of Liver Tumors: Analysis of Morphologic Pattern and Site of Recurrence”, AJR, 190: 1544–1551.
7. Thierry de Baere, Frederic Deschamps, Patricio Briggs et al (2008), “Hepatic Malignancies: Percutaneous Radiofrequency Ablation during Percutaneous Portal or Hepatic Vein Occlusion”, Radiology, Volume 248: Number 3 – September.