A case of rapid intrahepatic dissemination of hepatocellular carcinoma after radiofrequency thermal ablation

American Journal of Surgery
Nicola NicoliGiancarlo Mansueto

Abstract

Radiofrequency ablation (RFA) is a novel technique for the treatment of liver malignancies that is becoming increasingly more popular because of its feasibility, effectivity, repeatability, and safety. However, an increased number of complications after RFA has been reported in literature. The aim of this paper is to discuss the possible role of RFA in rapid intrahepatic spreading of hepatocellular carcinoma (HCC). We treated a 66-year-old woman who had a 3.5-cm HCC with two courses of percutaneous RFA using a modified needle with seven hooks. The effectiveness of the treatment was assessed 1 month later by enhanced computed tomography. Two courses of treatment were needed owing to the nodule position (close to the inferior vena cava). Computed tomography scan performed 1 month after the second RFA showed an intrahepatic arteriovenous fistula. Angiography performed after 1 month showed a rapid intrahepatic spreading of HCC. Radiofrequency ablation can create an arteriovenous fistula that can facilitate migration of tumoral cells from the nodule to the hepatic portal system and rapid intrahepatic dissemination of HCC.

References

May 9, 2001·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J M LlovetUNKNOWN Barcelona Clínic Liver Cancer (BCLC) Group
Nov 10, 2001·Journal of Hepato-biliary-pancreatic Surgery·N NicoliA R Hasheminia

❮ Previous
Next ❯

Citations

Nov 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Toshiro MasudaHideo Baba
Dec 22, 2006·Comparative Hepatology·Makoto NakamutaKazuhiro Kotoh
Nov 10, 2012·World Journal of Gastroenterology : WJG·Hiroya IidaNaoki Yamanaka
May 30, 2013·World Journal of Gastroenterology : WJG·Tan To CheungChung Mau Lo
Nov 26, 2009·Journal of Gastroenterology·Chiaki KawamotoKoji Yakabi
Dec 17, 2015·Journal of Vascular and Interventional Radiology : JVIR·Jooae ChoePyo Nyun Kim
Dec 25, 2009·Journal of Vascular and Interventional Radiology : JVIR·Mark Lee FernandesShi-Ming Lin
Aug 8, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A CasarilN Nicoli
Dec 14, 2005·Liver International : Official Journal of the International Association for the Study of the Liver·Kazuhiro KotohMakoto Nakamuta
Jul 10, 2007·Liver International : Official Journal of the International Association for the Study of the Liver·Ying Ying LiLi Jun Yuan
Nov 4, 2006·Alimentary Pharmacology & Therapeutics·A BaldanUNKNOWN Gene - Gruppo Epatocarcinoma NORD-EST
Jan 29, 2011·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Kosaku MoribataMasao Ichinose
Oct 30, 2013·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Hiroya IidaNaoki Yamanaka
Jun 26, 2010·ANZ Journal of Surgery·Christopher D MannAshley R Dennison
May 4, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J SakataK Hatakeyama
Feb 19, 2014·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Yoshiyuki MoriMasao Ichinose
Jan 23, 2015·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·Kenichiro NakachiMasao Ichinose
Feb 3, 2016·Liver International : Official Journal of the International Association for the Study of the Liver·Ji Hye MinHyo Keun Lim
Jan 20, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Junya NutaMasao Ichinose
Mar 19, 2016·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Tetsuya IkemotoShinichiro Yamada
Aug 1, 2013·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Uei Pua
Feb 28, 2008·European Journal of Gastroenterology & Hepatology·Claudio ZavagliaGiovambattista Pinzello
Jan 29, 2013·World Journal of Hepatology·Kosaku MoribataMasao Ichinose
May 2, 2019·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·Y OkamuraK Uesaka
Dec 6, 2016·Annals of the Royal College of Surgeons of England·J P TaylorM A Makary
Jan 21, 2006·World Journal of Gastroenterology : WJG·Kazuhiro KotohMakoto Nakamuta
Jul 22, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Dong Young JeongHeewon Han

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Carcinoma, Hepatocellular

Hepatocellular Carcinoma is a malignant cancer in liver epithelial cells. Discover the latest research on Hepatocellular Carcinoma here.