Radio-frequency ablation of hepatocellular carcinoma : influence of the anatomy on the outcome of the procedure
المؤلفون المشاركون
Jab Allah, Ali
Said, Ahmad M.
Hamzah, Muhammad Rida
المصدر
Journal of the Egyptian National Cancer Institute
العدد
المجلد 14، العدد 4 (31 ديسمبر/كانون الأول 2002)، ص ص. 333-342، 10ص.
الناشر
جامعة القاهرة المعهد القومي للأورام
تاريخ النشر
2002-12-31
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الموضوعات
الملخص EN
Purpose : to study the contribution of the morphology and the anatomical relations of a hepatocellular carcinoma (HCC) lesion to the outcome of radiofrequency ablation therapy (RFA) and the expectancy of ablation extent Material and Methods : Twenty-five patients with thirty-seven HCC lesions had undergone RFA therapy.
Of these, twenty-nine lesions were done under conscious sedation or general anesthesia, using an internally cooled electrode.
Lesions were anatomically classified : A) according to size into three groups ; 1) < 2.92 cm, 2) 2.92-5.1 cm and 3) > 5.1 cm ; B) according to margin definition into, ill-defined or well-defined ; C) according to difficulty of accessing the lesion through percutaneous route into 1) difficult and 2) easily accessible ; and D) anatomical relationship to nearby structures into 1) critically, < 1 cm, and non-critically, ≥ 1 cm, away from nearby structures.
Results: Complete ablation was achieved in 15 patients (51.7 %), 90-99 % ablation in 5 patients (17.2 %) ; 50-89 % ablation in 6 patients (20.7 %) and < 50 % in 3 patients (10.3 %).
Factors that contribute to outcome are lesion diameter and anatomical relation to nearby vessels.
Margin ill-definition may lead to misinterpretation of tumor diameter and subsequent sub-optimal results.
Ease of accessibility of the lesion is subjective and has no true contribution.
No major complications related to the procedure were encountered.
One patient died of bleeding esophageal varies, three weeks after the procedure.
Minor complications (twelve patients) included persistent pain, short term fever and local electric burn at the site of the grounding pad.
Conclusion : RFA is an effective modality for treating HCC when a patient is properly selected.
Best outcome is expected-in good hands-with smaller lesions, not related to major vessels with well-defined margins.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Said, Ahmad M.& Hamzah, Muhammad Rida& Jab Allah, Ali. 2002. Radio-frequency ablation of hepatocellular carcinoma : influence of the anatomy on the outcome of the procedure. Journal of the Egyptian National Cancer Institute،Vol. 14, no. 4, pp.333-342.
https://search.emarefa.net/detail/BIM-67498
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hamzah, Muhammad Rida…[et al.]. Radio-frequency ablation of hepatocellular carcinoma : influence of the anatomy on the outcome of the procedure. Journal of the Egyptian National Cancer Institute Vol. 14, no. 4 (Dec. 2002), pp.333-342.
https://search.emarefa.net/detail/BIM-67498
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Said, Ahmad M.& Hamzah, Muhammad Rida& Jab Allah, Ali. Radio-frequency ablation of hepatocellular carcinoma : influence of the anatomy on the outcome of the procedure. Journal of the Egyptian National Cancer Institute. 2002. Vol. 14, no. 4, pp.333-342.
https://search.emarefa.net/detail/BIM-67498
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 342
رقم السجل
BIM-67498
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر