Microwave ablation
Microwave
hepatocellular carcinoma
surgery
Journal
Cancer biology & medicine
ISSN: 2095-3941
Titre abrégé: Cancer Biol Med
Pays: China
ID NLM: 101588850
Informations de publication
Date de publication:
30 Sep 2021
30 Sep 2021
Historique:
entrez:
29
9
2021
pubmed:
30
9
2021
medline:
30
9
2021
Statut:
aheadofprint
Résumé
Thermal ablation poses challenges in the surgical resection (SR) of small hepatocellular carcinoma (HCC), and its therapeutic outcomes for larger lesions remain debated. This retrospective study evaluated 729 patients with HCC meeting the Milan criteria, who were treated with curative SR or microwave ablation (MWA) between 2008 and 2014. Overall survival (OS), cancer-specific survival (CSS), disease-free survival (DFS), and local tumor progression (LTP) were compared after propensity score matching (PSM). Co-variates associated with OS, CSS, LTP, and DFS were identified. The risk of death and tumor progression were compared. During the median follow-up of 78.6 months, 253 patients were included in each group after PSM. For tumors ≤ 3.0 cm and 3.1-4.0 cm, MWA achieved comparable results in terms of OS, CSS, DFS, and LTP. For tumors 4.1-5.0 cm, MWA had lower OS, CSS, and DFS rates (all MWA achieved comparable long-term oncologic outcomes with SR for ≤ 4 cm HCC, with lower complication rates and faster recovery.
Identifiants
pubmed: 34586759
pii: j.issn.2095-3941.2020.0625
doi: 10.20892/j.issn.2095-3941.2020.0625
pmc: PMC9334764
doi:
pii:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : The National Key R&D Program of Ministry of Science and Technology of China
ID : 2018ZX10723-204
Organisme : The National Scientific Foundation Committee of China
ID : 81801722
Organisme : The National Scientific Foundation Committee of China
ID : 81971625
Organisme : The National Scientific Foundation Committee of China
ID : 82030047
Organisme : The National Scientific Foundation Committee of China
ID : 81627803
Organisme : The National Scientific Foundation Committee of China
ID : 91859201
Organisme : The National Scientific Foundation Committee of Beijing
ID : JQ18021
Informations de copyright
Copyright © 2021 Cancer Biology & Medicine.
Déclaration de conflit d'intérêts
No potential conflicts of interest are disclosed.
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