Percutaneous image guided electrochemotherapy of hepatocellular carcinoma: technological advancement

Autor: Damijan Miklavčič, Bostjan Plesnik, Blaz Trotovsek, Mihajlo Djokic, Maja Cemazar, Lojze Šmid, Miha Petrič, Peter Popovič, Rok Dezman, Miha Stabuc, Rado Janša, Gregor Sersa, Masa Bosnjak, Ursa Lampreht Tratar, Bor Kos
Rok vydání: 2020
Předmět:
Ablation Techniques
Male
Electrochemotherapy
medicine.medical_specialty
Carcinoma
Hepatocellular
Percutaneous
elektrokemoterapija
hepatocelularni rak
koža
minimalna invazivnost
R895-920
Radiography
Interventional
Medical physics. Medical radiology. Nuclear medicine
medicine
Humans
Effective treatment
Radiology
Nuclear Medicine and imaging
Microwaves
neoplasms
Aged
bleomycin
medicine.diagnostic_test
business.industry
Liver Neoplasms
Microwave ablation
Angiography
Magnetic resonance imaging
hepatocellular carcinoma
Cone-Beam Computed Tomography
Percutaneous approach
medicine.disease
Combined Modality Therapy
digestive system diseases
udc:602
percutaneous
Oncology
Hepatocellular carcinoma
minimally invasive
Technological advance
Radiology
business
electrochemotherapy
hepatocellular carcinoma
percutaneous
minimally invasive
Research Article
Zdroj: Radiology and Oncology
Radiology and oncology, str. 347-352, XII, Vol. 54, no. 3, 2020 : Ilustr.
COBISS-ID: 32649472
Radiology and Oncology, Vol 54, Iss 3, Pp 347-352 (2020)
ISSN: 1581-3207
1318-2099
DOI: 10.2478/raon-2020-0038
Popis: Background Electrochemotherapy is an effective treatment of colorectal liver metastases and hepatocellular carcinoma (HCC) during open surgery. The minimally invasive percutaneous approach of electrochemotherapy has already been performed but not on HCC. The aim of this study was to demonstrate the feasibility, safety and effectiveness of electrochemotherapy with percutaneous approach on HCC. Patient and methods The patient had undergone the transarterial chemoembolization and microwave ablation of multifocal HCC in segments III, V and VI. In follow-up a new lesion was identified in segment III, and recognized by multidisciplinary team to be suitable for minimally invasive percutaneous electrochemotherapy. The treatment was performed with long needle electrodes inserted by the aid of image guidance. Results The insertion of electrodes was feasible, and the treatment proved safe and effective, as demonstrated by control magnetic resonance imaging. Conclusions Minimally invasive, image guided percutaneous electrochemotherapy is feasible, safe and effective in treatment of HCC.
Databáze: OpenAIRE
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