International Journal of Medical Sciences
.: Home > International Journal of Medical Sciences > 2008 > Volume 5 Number 6 > Andrea Salmi1, Renato Turrini1, Giovanna Lanzani1, Antonella Savio2, Livio Anglani3
Efficacy of Radiofrequency Ablation of Hepatocellular Carcinoma Associated with Chronic Liver Disease without Cirrhosis
Andrea Salmi1, Renato Turrini1, Giovanna Lanzani1, Antonella Savio2, Livio Anglani3
1. Gastroenterology Unit AFAR, Ospedale S.Orsola Fatebenefratelli Brescia Italy. 2. Pathology Department Ospedale S.Orsola Fatebenefratelli Brescia Italy. 3. IRCCS Statistical department San Giovanni di Dio Fatebenefratelli, Brescia.
Background. Hepatocellular carcinoma is one of the leading causes of death for compensated chronic liver disease. Aim. The evaluation of technical success as primary ablation rate, local tumor progression, safety, and long-term patients outcome of radiofrequency ablation in single (less than 3.5 cm in diameter) or multiple nodules (up to 3, sized less than 3 cm) of hepatocellular carcinoma associated to chronic liver disease without cirrhosis. Materials and Methods. 25 consecutive patients, mainly chronic hepatitis C, with surgical unresectable hepatocellular carcinoma due to comorbidity or tumor location recruited from a local sonographic screening, were treated. Results. Primary ablation was obtained in 96% of patients (24 out of 25) and in 93 % of nodules (27 out of 29). 1, 3, and 5-year local tumor progres ion rates after treatment were 4, 14, and 14%. Survival rates at 1,3, and 5-year were 92, 72, and 64%. No treatment-related deaths and severe complications were recorded. Conclusions. Radiofrequency ablation is effective with 96% of primary ablation with few tumoral recurrence and limited morbidity in patients with hepatocellular carcinoma associated with chronic liver disease without cirrhosis, it could represent a valid alternative treatment whenever surgical therapy is not safe.
Hepatocellular carcinoma; Radiofrequency ablation; Therapy; Survival; Ultrasound; Efficacy, Chronic liver disease, cirrhosis
Date Deposited : 28 Jul 2011 12:39
Official URL: http://www.medsci.org/archive
Last Modified : 28 Jul 2011 12:39
Volume 5, Number 6, - 2008 , ISSN 1449-1907
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