| An appraisal of percutaneous treatment of liver metastases. | |
| | |
MedLine Citation:
|
PMID: 9649639 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Percutaneous treatments, such as ethanol injection and radiofrequency, have been recently proposed for the treatment of liver metastases. The aim of this study was to evaluate the effects of these treatments in a series of 8 patients who subsequently underwent liver resection. These patients had been treated with percutaneous methods between December 1995 and May 1997. In 6 patients, the primary tumor was colonic; in 2 patients, carcinoid; and in 1 patient, ileal leiomyosarcoma. The lesions were all initially small in size (1.5 to 3.5 cm), single in 7 patients, and multiple in 1 patient with a carcinoid tumor. The initial decision for percutaneous treatment had been made on subjective grounds by the radiologists who originally saw the patients. The number of percutaneous treatment sessions ranged from 2 to 21. In all patients, a progression of the disease occurred. Four patients underwent a right hepatectomy; 1 patient, a left lobectomy; 2 patients, a segmentectomy; and 1 patient, a wedge resection. There was no operative mortality in any of these 8 patients. Two patients presented with seeding of the neoplasm on the diaphragm, which was resected. Histologic examination of all surgical specimens revealed the presence of vital neoplastic tissue; only two specimens of carcinoid tumors showed more than 50% necrosis of the nodules treated percutaneously. These results led us to express doubts as to the efficacy of percutaneous ablative treatment for liver metastases. |
| | |
Authors:
|
A Mazziotti; G L Grazi; A Gardini; M Cescon; F Pierangeli; G Ercolani; E Jovine; A Cavallari |
Related Documents
:
|
15986869 - A clinical-morphological study on cholestatic presentation of nonalcoholic fatty liver ... 15710219 - Pharmacokinetics and efficacy of oral versus intravenous mixed-micellar phylloquinone (... 18324909 - Usefulness of six non-proprietary indirect markers of liver fibrosis in patients with c... 20966469 - Evaluation of sound speed for detection of liver fibrosis: prospective comparison with ... 10630439 - Nonalcoholic steatohepatitis in children. 18397389 - Transient elastography accurately predicts presence of significant portal hypertension ... 8174119 - Pro-gastrin-releasing peptide(31-98) is a specific tumor marker in patients with small ... 11449319 - Electrophysiological findings in two young patients with bothnia dystrophy and a mutati... 3378319 - Are the classical markers sufficient to describe uremic solute accumulation in dialyzed... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Liver transplantation and surgery : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society Volume: 4 ISSN: 1074-3022 ISO Abbreviation: Liver Transpl Surg Publication Date: 1998 Jul |
Date Detail:
|
Created Date: 1998-08-11 Completed Date: 1998-08-11 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9502504 Medline TA: Liver Transpl Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 271-5 Citation Subset: IM |
Copyright Information:
|
Copyright 1998 W.B. Saunders Company. |
Affiliation:
|
Policlinico S. Orsola, University of Bologna, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Carcinoid Tumor
/
radiography,
secondary,
surgery* Catheter Ablation Colonic Neoplasms / pathology*, radiography, surgery Ethanol / administration & dosage Female Follow-Up Studies Hepatectomy* / methods Humans Ileal Neoplasms / pathology*, radiography, surgery Leiomyosarcoma / radiography, secondary, surgery* Liver Neoplasms / radiography, secondary, surgery* Male Middle Aged Neoplasm Recurrence, Local Retrospective Studies Tomography, X-Ray Computed Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
64-17-5/Ethanol |
| Comments/Corrections | |
Comment In:
|
Liver Transpl Surg. 1999 May;5(3):255-7
[PMID:
10375279
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Risk factors for recurrence of hepatitis C after liver transplantation.
Next Document: A prospective, randomized, double-blind trial evaluating the efficacy of ursodeoxycholic acid in pre...