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Percutaneous radiofrequency ablation for treatment of hepatocellular carcinoma in the caudate lobe.
- Source :
-
AJR. American journal of roentgenology [AJR Am J Roentgenol] 2011 Oct; Vol. 197 (4), pp. W571-5. - Publication Year :
- 2011
-
Abstract
- Objective: This study aimed to evaluate the efficacy and safety of percutaneous radiofrequency ablation (RFA) for the treatment of hepatocellular carcinoma (HCC) in the caudate lobe, where RFA is considered to be difficult.<br />Materials and Methods: Of a total of 810 patients treated by ultrasound-guided radiotherapy between July 2002 and May 2010, medical records of 50 consecutive patients with HCC in the caudate lobe were reviewed in this retrospective study. Twenty-two tumors were found to be in the paracaval portion and 28 in the Spiegel lobe. We retrospectively reviewed the procedures, treatment effect, and complications.<br />Results: For all paracaval tumors and eight Spiegel lobe tumors, we used the intercostal approach, and for the remaining Spiegel tumors (n = 20) we used the pass-the-left approach. We found that all tumors were successfully treated, and the local recurrence rate after 2 years was 12%. Cases of mortality or major complications after RFA were absent.<br />Conclusion: RFA appears to be an effective treatment modality for HCC in the caudate lobe.
- Subjects :
- Aged
Biomarkers, Tumor analysis
Carcinoma, Hepatocellular diagnostic imaging
Carcinoma, Hepatocellular pathology
Female
Humans
Liver Function Tests
Liver Neoplasms diagnostic imaging
Liver Neoplasms pathology
Male
Neoplasm Recurrence, Local
Postoperative Complications
Punctures
Retrospective Studies
Survival Rate
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Interventional
Carcinoma, Hepatocellular surgery
Catheter Ablation methods
Liver Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1546-3141
- Volume :
- 197
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- AJR. American journal of roentgenology
- Publication Type :
- Academic Journal
- Accession number :
- 21940528
- Full Text :
- https://doi.org/10.2214/AJR.11.6893