Flash-echo contrast sonography in the evaluation of response of small hepatocellular carcinoma to percutaneous ablation

2006 ◽  
Vol 34 (4) ◽  
pp. 161-168 ◽  
Author(s):  
Jing-Houng Wang ◽  
Sheng-Nan Lu ◽  
Hung-Da Tung ◽  
Chi-Sin Changchien ◽  
Chao-Hung Hung ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Percutaneous Ablation ◽  
Small Hepatocellular Carcinoma

Comparison of the Therapeutic Outcomes Between Surgical Resection and Percutaneous Ablation for Small Hepatocellular Carcinoma

2014 ◽  
Vol 21 (S3) ◽  
pp. 348-355 ◽  
Author(s):  
Kiyoshi Hasegawa ◽  
Taku Aoki ◽  
Takeaki Ishizawa ◽  
Junichi Kaneko ◽  
Yoshihiro Sakamoto ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Surgical Resection ◽  
Percutaneous Ablation ◽  
Small Hepatocellular Carcinoma ◽  
Therapeutic Outcomes

scholarly journals Laser Ablation for Small Hepatocellular Carcinoma

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Claudio Maurizio Pacella ◽  
Giampiero Francica ◽  
Giovanni Giuseppe Di Costanzo
Keyword(s):  
Hepatocellular Carcinoma ◽  
Laser Ablation ◽  
Percutaneous Ablation ◽  
Small Hepatocellular Carcinoma ◽  
Term Survival ◽  
Local Experience ◽  
Tumor Lesion ◽  
Therapeutic Choice ◽  
Risk Patients ◽  
Ablative Techniques

Hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide and is increasingly detected at small size (<5 cm) owing to surveillance programmes in high-risk patients. For these cases, curative therapies such as resection, liver transplantation, or percutaneous ablation have been proposed. When surgical options are precluded, image-guided tumor ablation is recommended as the most appropriate therapeutic choice in terms of tumor local control, safety, and improvement in survival. Laser ablation (LA) represents one of currently available loco-ablative techniques: light is delivered via flexible quartz fibers of diameter from 300 to 600 μm inserted into tumor lesion through either fine needles (21g Chiba needles) or large-bore catheters. The thermal destruction of tissue is achieved through conversion of absorbed light (usually infrared) into heat. A range of different imaging modalities have been used to guide percutaneous laser ablation, but ultrasound and magnetic resonance imaging are most widely employed, according to local experience and resource availability. Available clinical data suggest that LA is highly effective in terms of tumoricidal capability with an excellent safety profile; the best results in terms of long-term survival are obtained in early HCC so that LA can be proposed not only in unresectable cases but, not differently from radiofrequency ablation, also as the first-line treatment.

Serum and tissue PIVKA-II expression reflect the biological malignant potential of small hepatocellular carcinoma

2001 ◽  
Vol 120 (5) ◽  
pp. A558-A558
Author(s):  
M TAMANO ◽  
K KOJIMA ◽  
M OGUMA ◽  
M LIJIMA ◽  
T MUROHISA ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Malignant Potential ◽  
Small Hepatocellular Carcinoma

Transcatheter Chemoembolization of a Hepatocellular Carcinoma Utilizing Lipiodol through the Pancreaticoduodenal Arcade: A Case Report

2018 ◽  
Vol 2 ◽  
pp. 5
Author(s):  
Scott P Patterson ◽  
Richard G Foster
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Vascular Anatomy ◽  
Left Gastric Artery ◽  
Target Lesion ◽  
Celiac Artery ◽  
Small Hepatocellular Carcinoma ◽  
Gastric Artery ◽  
Variant Anatomy ◽  
Pancreaticoduodenal Arcade

This case report describes the chemoembolization of a small hepatocellular carcinoma employing a lipiodol drug delivery system utilizing a novel arterial pathway. Because the target lesion was precariously located adjacent to the inferior heart border and the diaphragm, it was unsuitable for imaging-guided microwave ablation. To achieve chemoembolization, several intraprocedural adaptations were necessary, given the variant anatomy encountered and difficulty accessing the left gastric artery through a celiac artery approach. The left gastric artery was selected from a superior mesenteric artery approach through the pancreaticoduodenal arcade (Rio Branco’s arcade). This case illustrates the importance of a mastery of the vascular anatomy and variants of hepatic arterial flow.

Limitations of imaging diagnosis for small hepatocellular carcinoma: Comparison with histological findings

2002 ◽  
Vol 14 (6) ◽  
pp. 559-565 ◽  
Author(s):  
Hideo Horigome ◽  
Tomoyuki Nomura ◽  
Katsuhisa Saso ◽  
Makoto Itoh ◽  
Takashi Joh ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Small Hepatocellular Carcinoma ◽  
Histological Findings ◽  
Imaging Diagnosis
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