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Aggressive tumor recurrence after radiofrequency ablation for hepatocellular carcinoma
- Source :
- Clinical and Molecular Hepatology, Vol 23, Iss 1, Pp 95-101 (2017), Clinical and Molecular Hepatology
- Publication Year :
- 2017
- Publisher :
- The Korean Association for the Study of the Liver, 2017.
-
Abstract
- Image-guided radiofrequency ablation (RFA) is an evolving and growing treatment option for patients with hepatocellular carcinoma (HCC) and hepatic metastasis. RFA offers significant advantages as it is less invasive than surgery and carries a low risk of major complications. However, serious complications, including aggressive tumor recurrence, may be observed during follow-up, and recently, mechanical or thermal damage during RFA has been proposed to be one of the causes of this kind of recurrence. Although the exact mechanism of this still remains unclear, physicians should be familiar with the imaging features of aggressive tumor recurrence after RFA for HCC and its risk factors. In addition, in order to prevent or minimize this newly recognized tumor recurrence, a modified RFA technique, combined RFA treatments with transarterial chemoembolization, and cryoablation can be used as alternative treatments. Ultimately, combining an understanding of this potential complication of RFA with an understanding of the possible risk factors for aggressive tumor recurrence and choosing alternative treatments are crucial to optimize clinical outcomes in each patient with HCC.
- Subjects :
- Tumor recurrence
medicine.medical_specialty
Carcinoma, Hepatocellular
Hepatocellular carcinoma
Radiofrequency ablation
medicine.medical_treatment
Catheter ablation
030218 nuclear medicine & medical imaging
law.invention
03 medical and health sciences
0302 clinical medicine
Risk Factors
law
medicine
Humans
Major complication
lcsh:RC799-869
Molecular Biology
Ultrasonography
Hepatology
business.industry
Liver Neoplasms
Liver Imaging
Cryoablation
medicine.disease
Treatment Outcome
surgical procedures, operative
Liver
Catheter Ablation
lcsh:Diseases of the digestive system. Gastroenterology
030211 gastroenterology & hepatology
Thermal damage
Radiology
Neoplasm Recurrence, Local
Tomography, X-Ray Computed
business
Complication
therapeutics
Subjects
Details
- ISSN :
- 2287285X and 22872728
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Clinical and Molecular Hepatology
- Accession number :
- edsair.doi.dedup.....7fda9a287a579e6e598d21c89f0b6a9a