Document Detail

Radiofrequency ablation combined with percutaneous ethanol injection in the treatment of hepatocellular carcinoma and portal vein neoplastic thrombosis.
MedLine Citation:
PMID:  15330193     Owner:  NLM     Status:  MEDLINE    
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.
Guido Poggi; Carlo Gatti; Cristina Teragni; Angelo Delmonte; Giovanni Bernardo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anticancer research     Volume:  24     ISSN:  0250-7005     ISO Abbreviation:  Anticancer Res.     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-08-27     Completed Date:  2004-09-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8102988     Medline TA:  Anticancer Res     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  2419-21     Citation Subset:  IM    
Divisione di Oncologia II, IRCCS Fondazione S. Maugeri, Istituto Scientifico di Pavia, Italy.
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MeSH Terms
Administration, Cutaneous
Budd-Chiari Syndrome / drug therapy*,  etiology
Carcinoma, Hepatocellular / complications,  surgery*
Catheter Ablation / methods*
Ethanol / administration & dosage*
Liver Cirrhosis, Alcoholic / complications
Liver Neoplasms / complications,  surgery*
Middle Aged
Reg. No./Substance:

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