Combined hepatectomy and radiofrequency ablation for multifocal hepatocellular carcinoma: a case report
| Autor: | Federica Latteri, Giuseppe Lo Re, Mario Adelfio Latteri, Luigi Sandonato, Giuseppina Lombardo, Maurizio Soresi, Valentina Bova, Calogero Cipolla |
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| Přispěvatelé: | Sandonato, L, Cipolla, C, Soresi, M, Lo Re, G, Latteri, F, Lombardo, G, Bova, V, Latteri, M |
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Medicine(all)
medicine.medical_specialty Cirrhosis Patient affected business.industry Radiofrequency ablation medicine.medical_treatment White female General Medicine Hepatic resection multifocal hepatocellular carcinoma radiofrequency ablation medicine.disease Combined approach digestive system diseases Surgery law.invention Settore MED/18 - Chirurgia Generale law Hepatocellular carcinoma Case report medicine Hepatectomy business DISEASE RELAPSE |
| Zdroj: | Cases Journal |
| ISSN: | 1757-1626 |
| Popis: | Introduction: At the present time, the best possible choice for the local management of a multifocal hepatocellular carcinoma (HCC) developing on liver cirrhosis is multimodal treatment of the disease. Combined approach based on simultaneous radiofrequency ablation (RFA) together with limited surgical resection represents a valid choice of treatment. Case presentation: A 75-year-old white female patient affected of HCV-associated cirrhosis in BChild-Pugh’s functional class A5, developed a bifocal HCC. The patient had undergone a limited surgical resection together with simultaneous RFA, without intraoperative and postoperative surgical complications. At 36 months after surgery, still shows no sign of disease relapse. Conclusion: This strategy directed at the management of multifocal HCC, may prove more useful for the reduction of surgical risk and post-operative progression of the liver cirrhosis than large-scale hepatectomy, since it presents no peri-operative mortality and a complication rate of less than 10%. |
| Databáze: | OpenAIRE |
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