Value of Percutaneous Microwave Ablation as an Effective Treatment for Hepatocellular Carcinoma
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- Category: Vol. 82, June 2014
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Value of Percutaneous Microwave Ablation as an Effective Treatment for Hepatocellular Carcinoma, ENAS A.R. ALKAREEMY, HUSSEIN ELAMIN, OSAMA M. HETTA, LOBNA ABDEL WAHID, WAEL A. ABBAS and AHMED M.M. ASHMAWY
Abstract
Background: Hepatocelluar carcinoma (HCC) is the fifth most common malignant disease and the third most common cause of cancer death worldwide. Egypt has the highest prevalence of HCV in the world and up to 90% of HCC cases in the Egyptian population were due to HCV. Currently, minimal invasive techniques have become available for local destruction of hepatic tumors. Microwave ablation (MW) is one of the common thermal ablation therapies for treatment of HCC.
Aim of the Study: Evaluation of therapeutic efficacy and safety of MW thermal ablation for treatment of HCC.
Patients and Methods: 30 patients with HCC from Assuit and Ain Shams University Hospitals were enrolled in the study. All patients underwent MW ablation of the hepatic lesion and follow-up CT abdomen was done 30 days later to assess the efficacy and detect the complications of MW ablation.
Results: After 30 days, complete tumor necrosis was achieved in 27 patients (90%). Both increased lesion size and advanced Child class were found to be associated with worse outcome and recurrence.
Conclusions: Microwave ablation is safe and effective technique and has a promising potential in the treatment of hepatocellular carcinoma.