PMID: 16518274Mar 7, 2006Paper

Treatment of small hepatocellular carcinoma with acetic acid percutaneous injection

Gastroentérologie Clinique Et Biologique
Laetitia FartouxOlivier Rosmorduc

Abstract

Percutaneous ablation using acetic acid is an attractive method because of its low morbidity and low number of sessions required to induce complete tumor necrosis. Moreover, the real-time fluoroscopy CT scan could improve the technique by improving distribution of the necrotizing agent within the tumor. To determine the feasibility and the long-term results of the acetic acid percutaneous injection under CT fluoroscopy guidance in a series of cirrhotic patients with small hepatocellular carcinoma in a single French center. One hundred and two patients with hepatocellular carcinoma were evaluated for treatment between 1999 and 2000. The selection criteria for fluoroscopy CT scan-directed percutaneous acetic acid ablation were: 1) one to three nodules<5 centimeters; 2) Child-Pugh class<13; 3) prothrombin index > 40% and platelet count > 50000 per mm(3) and 4) contraindication to both resection and liver transplantation. Post treatment follow-up included ultrasonography, magnetic resonance and alphafetoprotein levels every 3 months. Recurrence and survival rates were estimated using the Kaplan-Meier method. Forty-nine patients (48%) could benefit from a curative treatment, most of them (37/49) being eligible for fluoroscopy CT sca...Continue Reading

References

Mar 14, 1996·The New England Journal of Medicine·V MazzaferroL Gennari
May 1, 1996·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K OhnishiK Fujiwara
Jan 1, 1996·European Radiology·C Bartolozzi, R Lencioni
Jan 13, 1998·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K OhnishiK Fujiwara
May 6, 1999·Radiology·B Daly, P A Templeton
Nov 26, 1999·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J M LlovetJ Bruix
May 10, 2000·European Journal of Radiology·J de MeyM Osteaux
Oct 21, 2000·Journal of Vascular and Interventional Radiology : JVIR·D GianfeliceP C Milette
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
Oct 5, 2001·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J YamamotoT Kosuge
Mar 1, 2002·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Jordi Bruix, Josep M Llovet
Dec 12, 2003·Lancet·Josep M LlovetJordi Bruix
Jan 8, 2004·Journal of Vascular and Interventional Radiology : JVIR·Samir S ShahTimothy W I Clark
Feb 6, 2004·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Riccardo LencioniCarlo Bartolozzi

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Citations

Jun 14, 2014·Radiology·Muneeb AhmedUNKNOWN Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe
Dec 3, 2014·Surgical Oncology Clinics of North America·Paul D HansenRonald F Wolf
Jul 20, 2010·The Surgical Clinics of North America·David SindramDavid A Iannitti
Dec 18, 2009·Journal of Surgical Oncology·Srikanth PadmaDavid A Iannitti
Feb 18, 2012·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Erik N K CressmanJohn C Bischof
Feb 18, 2012·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Erik N K CressmanJohn C Bischof
Dec 3, 2014·Journal of Vascular and Interventional Radiology : JVIR·Muneeb AhmedUNKNOWN Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe
Jan 1, 2014·Hepatic Oncology·David J NiemeyerIain H McKillop

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