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Microwave ablation for the treatment of hepatocellular carcinoma that met up-to-seven criteria: feasibility, local efficacy and long-term outcomes.
- Source :
-
European Radiology . Sep2017, Vol. 27 Issue 9, p3877-3887. 11p. - Publication Year :
- 2017
-
Abstract
- <bold>Objectives: </bold>This study aimed to evaluate the feasibility, local efficacy and long-term outcomes of microwave (MW) ablation for the treatment of hepatocellular carcinoma (HCC) that met up-to-seven criteria.<bold>Methods: </bold>Between January 2007 and January 2012, 142 HCC patients with 294 nodules, which conformed to up-to-seven criteria, were enrolled into this retrospective study. All patients were followed up for more than 3 years after receiving MW ablation. Technical success, complications, local tumour progression (LTP) and distant recurrence (DR) were monitored. Recurrence-free survival (RFS), overall survival (OS) and prognostic factors were analysed.<bold>Results: </bold>Primary technical efficacy was achieved in 95.2% (280/294) of the carcinomatous nodules, and major complications occurred in four (2.8%) patients. Among the 294 tumours, LTP was observed in 44 (15.0%) tumours. Among the 142 patients, DR was observed in 97 (68.3%) patients. The estimated OS rates after MW ablation at 1, 3 and 5 years were 97.2%, 75.4% and 50.6%, respectively; and the corresponding RFS rates were 76.1%, 33.1% and 19.5%, respectively.<bold>Conclusions: </bold>MW ablation is a safe and effective treatment with a high rate of primary technical efficacy for patients with HCC that met up-to-seven criteria.<bold>Key Points: </bold>• The first study expanding MW ablation to HCC category beyond Milan criteria. • The first report that used up-to-seven criteria as indications for MW ablation. • HCC of up-to-seven criteria viewed as a subgroup of BCLC stage B. • MW ablation is safe and effective for treating HCC within up-to-seven criteria. • MW ablation is preferable in treating unresectable HCC within up-to-seven criteria. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LIVER cancer
*ABLATION techniques
*TREATMENT effectiveness
*DISEASE progression
*SURGICAL complications
*MICROWAVES
*CANCER relapse
*CATHETER ablation
*COMPARATIVE studies
*HEPATOCELLULAR carcinoma
*LIVER tumors
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*SURVIVAL
*PILOT projects
*EVALUATION research
*RETROSPECTIVE studies
*THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 09387994
- Volume :
- 27
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- European Radiology
- Publication Type :
- Academic Journal
- Accession number :
- 124485430
- Full Text :
- https://doi.org/10.1007/s00330-017-4740-0