Feeding artery ablation before radiofrequency ablation for hepatocellular carcinoma may reduce critical recurrence.

carcinoma hepatocellular radiofrequency ablation recurrence ultrasonography

Journal

JGH open : an open access journal of gastroenterology and hepatology
ISSN: 2397-9070
Titre abrégé: JGH Open
Pays: Australia
ID NLM: 101730833

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 28 08 2020
revised: 12 02 2021
accepted: 22 02 2021
entrez: 16 4 2021
pubmed: 17 4 2021
medline: 17 4 2021
Statut: epublish

Résumé

Percutaneous radiofrequency ablation (RFA) is a minimally invasive and curative local treatment for hepatocellular carcinoma (HCC). However, serious concerns remain regarding critical recurrences such as metastasis, dissemination, and/or seeding due to RFA. In August 2006, we introduced selective feeding artery ablation before tumor ablation to reduce the risk of critical recurrence by blocking tumor blood flow. The aim of the present study was to clarify whether feeding artery ablation before tumor ablation can reduce the risk of critical recurrence after RFA. This study retrospectively analyzed 279 patients with primary, solitary, and hypervascular HCC ≤5 cm in diameter who were treated with RFA alone between April 2001 and August 2013. Critical recurrence was defined as intra- or extrahepatic metastasis, dissemination, or seeding that was difficult to treat radically. Of the 279 HCC patients, 157 patients were treated with conventional RFA alone, and 122 patients underwent RFA with prior feeding artery ablation. Although no significant differences were seen in the rates of local tumor progression-free survival, overall recurrence-free survival, or overall survival between a conventional RFA group and a prior feeding artery ablation group, significant differences were seen in rates of critical recurrence-free survival and cancer-specific survival (5-year, 69 Feeding artery ablation before tumor ablation may reduce the risk of critical recurrence.

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
Percutaneous radiofrequency ablation (RFA) is a minimally invasive and curative local treatment for hepatocellular carcinoma (HCC). However, serious concerns remain regarding critical recurrences such as metastasis, dissemination, and/or seeding due to RFA. In August 2006, we introduced selective feeding artery ablation before tumor ablation to reduce the risk of critical recurrence by blocking tumor blood flow. The aim of the present study was to clarify whether feeding artery ablation before tumor ablation can reduce the risk of critical recurrence after RFA.
METHODS METHODS
This study retrospectively analyzed 279 patients with primary, solitary, and hypervascular HCC ≤5 cm in diameter who were treated with RFA alone between April 2001 and August 2013. Critical recurrence was defined as intra- or extrahepatic metastasis, dissemination, or seeding that was difficult to treat radically.
RESULTS RESULTS
Of the 279 HCC patients, 157 patients were treated with conventional RFA alone, and 122 patients underwent RFA with prior feeding artery ablation. Although no significant differences were seen in the rates of local tumor progression-free survival, overall recurrence-free survival, or overall survival between a conventional RFA group and a prior feeding artery ablation group, significant differences were seen in rates of critical recurrence-free survival and cancer-specific survival (5-year, 69
CONCLUSIONS CONCLUSIONS
Feeding artery ablation before tumor ablation may reduce the risk of critical recurrence.

Identifiants

pubmed: 33860099
doi: 10.1002/jgh3.12519
pii: JGH312519
pmc: PMC8035445
doi:

Types de publication

Journal Article

Langues

eng

Pagination

478-485

Informations de copyright

© 2021 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

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Auteurs

Ryo Shimizu (R)

Second Department of Internal Medicine Wakayama Medical University Wakayama Japan.

Hideyuki Tamai (H)

Department of Hepatology Wakayama Rosai Hospital Wakayama Japan.

Yoshiyuki Ida (Y)

Second Department of Internal Medicine Wakayama Medical University Wakayama Japan.

Shuya Maeshima (S)

Second Department of Internal Medicine Wakayama Medical University Wakayama Japan.

Naoki Shingaki (N)

Department of Hepatology Wakayama Rosai Hospital Wakayama Japan.

Takao Maekita (T)

Second Department of Internal Medicine Wakayama Medical University Wakayama Japan.

Mikitaka Iguchi (M)

Second Department of Internal Medicine Wakayama Medical University Wakayama Japan.

Masayuki Kitano (M)

Second Department of Internal Medicine Wakayama Medical University Wakayama Japan.

Classifications MeSH