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Percutaneous microwave ablation of exophytic tumours in hepatocellular carcinoma patients: Safe or not?
- Source :
- Liver International; Sep2017, Vol. 37 Issue 9, p1365-1372, 8p, 3 Color Photographs, 1 Black and White Photograph, 1 Diagram, 1 Chart, 2 Graphs
- Publication Year :
- 2017
-
Abstract
- Background & Aims To explore the long-term outcomes and safety of ultrasound-guided percutaneous microwave ablation ( MWA) of exophytic tumours in hepatocellular carcinoma ( HCC) patients. Methods One hundred and thirty-two patients with subcapsular HCC were enrolled in this retrospective study. These patients were divided into the exophytic group (n=71) and non-exophytic group (n=61) according to the location of the tumour(s). A special technology of puncture and ablation was performed to treat the exophytic tumours. The local tumour progression ( LTP), progression free survival ( PFS) and overall survival ( OS) were analysed using Kaplan-Meier and Log-rank tests. Results Sixty-nine of 71 exophytic tumours and 60 of 61 subcapsular tumours were completely ablated. The complete ablation rates were 97.2% and 98.4% respectively. The follow-up periods ranged from 6 to 62 months with a median of 31 months in the exophytic group, and ranged from 5 to 61 months, with a median of 27 months in the non-exophytic group. The 1-, 3- and 5-year cumulative LTP rates were 2.4%, 12.3%, 18.4% and 5.1%, 12.0%, 17.8% in the exophytic and non-exophytic groups respectively ( P=.733). The 1-, 3- and 5-year OS rates were 100%, 75.7%, 52.9% and 95.0%, 73.8%, 61.5% in the exophytic group and non-exophytic group respectively ( P=.980). There was no procedure-related mortality or major complication. Conclusion Ultrasound-guided percutaneous MWA is safe and effective for exophytic tumours in HCC patients. Treated by MWA, the HCC patients with exophytic tumours can get the similar local response and long-term outcome to those with non-exophytic subcapsular tumours. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14783223
- Volume :
- 37
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Liver International
- Publication Type :
- Academic Journal
- Accession number :
- 124846927
- Full Text :
- https://doi.org/10.1111/liv.13426