ASSESSMENT OF FIRST STEP RESULTS IN HEPATOCELLULAR CARCINOMA TREATMENT USING RADIOFREQUENCY ABLATION AT BACH MAI HOSPITAL

Thanh Thủy Nhân Trần1,, Minh Thông Phạm2,3, Văn Khảng Lê3
1 Dien Bien Provincial General Hospital
2 Hanoi Medical University
3 Bach Mai Hospital

Main Article Content

Abstract

Background and aims: Hepatocellular carcinoma (HCC) is one of the most common malignant diseases with many treatment options available. Our aims are to evaluate the efficacy, safety and identify factors associated with the efficacy of radiofrequency ablation (RFA) in HCC. Results: There were 67 tumors in 58 patients treated with percutaneous RFA. The average tumor diameter was 31.2± 7.4mm. The rate of complete treatment response after 3 months of treatment accounted for 95.5% and after 6 months was 91.0%. Tumors larger than 30mm require a combination of TACE and RFA in the treatment of HCC patients. Conclusion: RFA is a relatively safe and effective treatment for HCC patients.

Article Details

References

1. Arii S et al (2010), ʺManagement of hepatocellular carcinoma: Report of Consensus Meeting in the 45th Annual Meeting of the Japan Society of Hepatology (2009)ʺ. Hepatol Res, 40(7): pp. 667‐85.
2. Ayav A et al (2010), ʺRadiofrequency ablation of unresectable liver tumors: factors associated with incomplete ablation or local recurrenceʺ. Am J Surg, 200(4): pp. 435‐9.
3. Bruix J, Sherman M (2011), ʺManagement of hepatocellular carcinoma: an updateʺ. Hepatology, 53(3): pp. 1020‐2
4. Goldberg SN et al (2005), ʺImage‐guided tumor ablation: standardization of terminology and reporting criteriaʺ. Radiology, 235(3): pp. 728‐39.
5. Kudo M (2010), ʺRadiofrequency ablation for hepatocellular carcinoma: updated review in 2010ʺ. Oncology, 78 Suppl 1: pp. 113‐24.
6. Lam VW et al (2008), ʺIncomplete ablation after radiofrequency ablation of hepatocellular carcinoma: analysis of risk factors and prognostic factorsʺ. Ann Surg Oncol, 15(3): pp. 782‐90.
7. Lê Lộc (2003). ʺKết quả bước đầu điều trị ung thư gan bằng phương pháp nhiệt cao tần (Radiofrequency Ablation)ʺ. Tạp chí Y học thành phố Hồ Chí Minh, tập 7, phụ bản số 4, tr. 226‐ 230.
8. Livraghi T et al (2003), ʺTreatment of focal liver tumors with percutaneous radio‐frequency ablation: complications encountered in a multicenter studyʺ. Radiology, 226(2): pp. 441‐51.