Microwave coagulation

Combination therapy The use of local-interventional procedures is restricted to a maximum tumour size of 5 cm in diameter. Therefore, a combination of two local techniques is seen as promising. The joint application of PEI and TAB has proved its efficacy for some time. (177) Similarly, there have been reports about the successful use of TACE following laser thermal ablation. (136) Further encouraging options include a combination of TACE and RFTA, TACE with microwave coagulation (149) or TACE with cryotherapy. Using TACE, the size of the HCC can be reduced in some cases, making it possible to carry out subsequent ablation with better results. [Pg.785]

Sekl, T., Tamal, T., Nakagawa, T., Imamnra, M., Nishimura, A., Yamashikl, N., Ikeda, K., Inoue, K. Combination therapy with transcatheter arterial chemoemholization and percutaneous microwave coagulation therapy for hepatocellular carcinoma. Cancer 2000 89 1245-1251... [Pg.805]

Shibata, T., Murakami, T., Ogata, N. Percutaneous microwave coagulation therapy for patients with primary and metastatic hepatic tumors during interruption of hepatic blood flow. Cancer 2000 88 302-311... [Pg.809]

Ido K, Isoda N, Sugano K (2001) Microwave coagulation therapy for liver cancer laparoscopic microwave coagulation. J Gastroenterol 36(3) 145-152... [Pg.27]

Lu MD, Chen JW, Xie XY, Liu L, Huang XQ, Liang LJ, Huang JF (2001) Hepatocellular carcinoma US-guided percutaneous microwave coagulation therapy. Radiology 221 167-172... [Pg.27]

Sapareto SA, Dewey WC (1984) Thermal dose determination in cancer therapy. Int J Radiat Oncol Biol Phys 10 787-800 Sato M, Watanabe Y, Ueda S, Iseki S, Abe Y, Sato N, Kimura S, Okubo K, Onji M (1996) Microwave coagulation therapy for hepatocellular carcinoma. Gastroenterology 110 1507-1514... [Pg.28]

Seki T, Wakabayashi M, Nakagawa T, Itho T, Shiro T, Kuni-eda K, Sato M, Uchiyama S, Inoue K (1994) Ultrasonically guided percutaneous microwave coagulation therapy for small hepatocellular carcinoma. Cancer 74 817-825 Shibata T, limuro Y, Yamamoto Y et al (2002) Small hepatocellular carcinoma comparison of radio-frequency ablation and percutaneous microwave coagulation therapy. Radiology 223 331-337... [Pg.28]

Shimada S, Hirota M, Beppu T, Matsuda T, Hayashi N, Tashima S, Takai E, Yamaguchi K, Inoue K, Ogawa M (1998) Complications and management of microwave coagulation therapy for primary and metastatic liver tumors. Surg Today 28 1130-1137... [Pg.28]

Neoadjuvant TACE - Frankfurt Protocol (TACE Followed by LITT) 114 Combined Interventional Therapies Combination of TACE and PEI 116 Combination of TACE and Radiation Combination of TACE and Thermal Ablation (LITT / RE) 118 Combination of TACE and Microwave Coagulation 118 Combination of TACE and Cryotherapy 119 Conclusion 119 References 119... [Pg.113]

Nevertheless, the indication of percutaneous microwave coagulation therapy as an alternative to hepatic resection should be limited to cases of a well-differentiated HCC tumor smaller than 2 cm up... [Pg.118]

ISHiKAWA et al. (2000) suggested that microwave coagulation therapy can destroy the peripheral part of the tumor that might remain viable after transarterial embolization (TAE), but combination therapy with TAE was preferable, especially when a viable part existed within tumors. [Pg.119]

Hepatic outflow obstruction by balloon occlusion of the hepatic vein and combination with hepatic artery block can cause larger areas of coagulation with microwave coagulation therapy (Hiraki and Kanazawa 2005 Shibata et al. 2002b). However, clinical trials are required to define the role of this combined therapy in the treatment of liver tumors. [Pg.119]

Shibata T, Morita T, Okuyama M, Kitada M, Shimano T, IshidaT (2002b) Comparison of percutaneous microwave coagulation area under interruption of hepatic arterial blood flow with that under hepatic arterial and venous blood flow for hepatocellular carcinoma. Gan To Kagaku Ryoho 29 2146-2148... [Pg.121]

Shiina S, Teratani T, Obi S, Hamamura K, Koike Y, Omata M (2002) Nonsurgical treatment of hepatocellular carcinoma from percutaneous ethanol injection therapy and percutaneous microwave coagulation therapy to radiofrequency ablation. Oncology 62 64-68 Simon CJ, Dupuy DE, Mayo-Smith WW (2005) Microwave ablation principles and applications. Radiographics 25 [Suppl 1] S69-S83... [Pg.121]

Takamura M, Murakami T, Shibata T et al (2001) Microwave coagulation therapy with interruption of hepatic blood in- or outflow an experimental study. J Vase Interv Radiol 12 619-622... [Pg.121]

Salgia R, Skarin AT (1998) Molecular abnormalities in lung cancer. J Clin Oncol 16(3) 1207-1217 Seki T, Wakabayashi M, Nakagawa T, Imamura M, Tamai T, Nishimura A, Yamashiki N, Okamura A, Inoue K (1999) Percutaneous microwave coagulation therapy for patients with small hepatocellular carcinoma comparison with percutaneous ethanol injection therapy. Cancer 85(8) 1694-1702... [Pg.196]

All of the percutaneous techniques are limited by the size and number of the lesions (up to three lesions each measuring up to 4 cm) as well as their location. Subdiaphragmatic lesions may be percutaneously inaccessible, and lesions close to large vascular structures respond poorly to thermal ablation techniques (RFA, MCT, Cryo, and LIPC). On the contrary, intra-arterial techniques are not limited by the number, size, or location of the lesions rather by the hepatic function reserve, as shown in Table 10.2. TACE, trans-arterial chemo-embolization TARE, trans-arterial radio-embolization MCT, microwave coagulation therapy RFA, radio frequency ablation LIPC, laser interstitial photocoagulation Cryo, cryo-ablation PEI, percutaneous ethanol injection PAAI, percutaneous acetic acid injection PCI, percutaneous chemotherapy injection... [Pg.130]

The indications and contraindications for laser ablation, and the main complications and methods of follow-up are the same as for radiofrequency ablation and microwave coagulation. The procedures are usually guided with CT or ultrasound although MR is sometimes used as well. By inserting up to eight fibres simultaneously it is possible to achieve confluent necrosis of 6-7 cm in diameter. The ultimate burn size is governed by the tumour vascularity and by the vasodilatory response of surrounding normal liver parenchyma. [Pg.344]

Dong et al. (2003) report a 5-year survival of 56.7% in 234 patients with hepatocellular carcinoma treated with microwave ablation therapy. Shibata et al. (2002b) compared RF and microwave ablation in the treatment of small hepatocellular carcinomas and found no difference in therapeutic effect or complication rates between the two techniques, although RF ablation was completed with fewer sessions. There is less evidence for the therapeutic effect of microwave ablation in patients with colorectal liver metastases. In one series of 74 patients with colorectal liver metastases a 5-year survival rate of 29% was achieved, with no major complications observed (Liang et al. 2003). At present, there is, however no substantial series of patients with hepatic metastases treated with microwave coagulation. [Pg.345]

Dong B, Liang P, Yu X, et al (2003) Percutaneous sonographi-cally guided microwave coagulation therapy for hepatocellular carcinoma results in 234 patients. AJR Am J Roentgenol 180 1547-1555... [Pg.346]

Murakami R, Yoshimatsu S, Yamashita Y, et al (1995) Treatment of hepatocellular carcinoma value of percutaneous microwave coagulation. AJR Am J Roentgenol 164 1159-1164... [Pg.347]

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