Radiofrequency ablation combined with percutaneous ethanol injection in the treatment of hepatocellular carcinoma and portal vein neoplastic thrombosis

被引:0
|
作者
Poggi, G
Gatti, C
Teragni, C
Delmonte, A
Bernardo, G
机构
[1] IRCCS, Fdn S Maugeri, Div Oncol 2, Ist Sci Pavia, I-27100 Pavia, Italy
[2] IRCCS, Fdn S Maugeri, Serv Radiol & Radiodiagnost, Ist Sci Pavia, I-27100 Pavia, Italy
关键词
hepatocellular carcinoma; portal vein thrombosis; ethanol injection; radiofrequency; thermal ablation;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In the last ten years new techniques, such as percutaneous ethanol injection (PEI) and radiofrequency ablation (RFA), have been developed for the treatment of hepatocellular carcinoma (HCC). Portal vein involvement is a complication of HCC and the role of surgical resection for HCC with tumor thrombi in the portal veins is controversial. Here we present the case of a 58-year-old man, with Child's class A cirrhosis and a focal lesion of HCC with thrombosis of the segmental portal branch extending into the right portal vein. We treated the nodule with RFA and the portal tumor thrombosis with ethanol injection. Twenty-two months after the combined treatment, an enhanced spiral CT scan showed complete necrosis of the nodule and color/power Doppler ultrasound demonstrated the complete patency of the right portal vein.
引用
收藏
页码:2419 / 2421
页数:3
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