Percutaneous CT-guided radiofrequency ablation for unresectable hepatocellular carcinoma pulmonary metastases
| Autor: | Wang Li, Ming Zhao, Tao Pan, Jianpeng Wang, Xishan Li, Lijie Shen, Weijun Fan, Zilin Huang, Yumin Chen, Peihong Wu |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Carcinoma Hepatocellular Lung Neoplasms Percutaneous Physiology Radiofrequency ablation medicine.medical_treatment Catheter ablation Kaplan-Meier Estimate law.invention Young Adult law Physiology (medical) medicine Carcinoma Humans Aged Univariate analysis business.industry Medical record Liver Neoplasms Pneumothorax Middle Aged medicine.disease Surgery Hepatocellular carcinoma Catheter Ablation Female Tomography X-Ray Computed business |
| Zdroj: | International Journal of Hyperthermia. 28:721-728 |
| ISSN: | 1464-5157 0265-6736 |
| DOI: | 10.3109/02656736.2012.736669 |
| Popis: | This study aimed to evaluate the safety and efficacy of percutaneous CT-guided radiofrequency ablation (RFA) for unresectable hepatocellular carcinoma pulmonary metastases (HCCPM) and to identify the prognostic factors for survival.We reviewed the medical records of 320 patients with HCCPM treated between January 2005 and January 2012. Among them, 29 patients with 68 lesions of unresectable HCCPM underwent 56 RFA sessions. Safety, local efficacy, survival and prognostic factors were evaluated. Survival was analysed using the Kaplan-Meier method. Univariate analyses were evaluated by the log-rank test.Pneumothorax requiring chest tube placement occurred in five (8.9%, 5/56) RFA sessions. During the median follow-up period of 23 months (range 6-70), 18 patients (62.1%, 18/29) died of tumour progression and 11 (37.9%, 11/29) were alive. The 1-, 2- and 3-year overall survival rates were 73.4%, 41.1% and 30%, respectively. The median progression-free survival was 18 months (95% confidence interval (CI) 9.8-26.2) and the median overall survival time was 21 months (95%CI, 9.7-32.3). The maximum tumour diameter ≤3 cm (p = 0.002), the number of pulmonary metastases ≤3 (p = 0.014), serum AFP level ≤400 ng/mL (p = 0.003), and the controlled status of intrahepatic tumour after lung RFA (p = 0.001) were favourable prognostic factors for overall survival.Our study indicates that percutaneous CT-guided RFA, as an alternative treatment procedure to pulmonary metastasectomy, can be a safe and effective therapeutic option for unresectable HCCPM. |
| Databáze: | OpenAIRE |
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