Abstract BACKGROUND/AIMS: To assess the effectiveness and the safety of radio-frequency thermal ablation (RFTA) in patients with hepatocellular carcinoma (HCC) < or = 5 cm in compensated cirrhosis. METHODS: A cohort of 202 consecutive patients (165 Child-Pugh class A and 37 class B) was prospectively assessed. A single lesion was observed in 160/202 (79.2%), two lesions in 29/202 (14.3%), and three lesions in 13/202 (6.4%) of patients. RESULTS: Sixty-seven patients died. Survival rates were 80% at 12 months, 67% at 24 months and 57% at 30 months (Child-Pugh A 59% and Child-Pugh B 48%). By Cox regression analysis, survival was independently predicted by serum albumin levels > or = 35 g/L, platelet count > or = 100.000/mmc, tumor size < or = 3 cm, complete response at 1 month and Barcelona Clinic Liver Cancer (BCLC) staging classification. Overall recurrence rates were 22, 38, and 44% at 12, 24, and 30 months, respectively. One procedure-related death occurred. The proportion of major complications after treatment was 3.9%. CONCLUSIONS: A complete response after RFTA significantly increases survival. The longest survival is obtained in the presence of HCC < or = 3 cm and of higher baseline albumin levels and platelet counts. BCLC staging classification is able to discriminate patients with good or poor prognosis.
|Data di pubblicazione:||2005|
|Titolo:||Treatment of hepatocellular carcinoma in compensated cirrhosis with radio-frequency thermal ablation (RFTA): a prospective study|
|Autori:||CAMMA', C; DI MARCO, V; ORLANDO, A; SANDONATO, L; CASARIL, A; PARISI, P; ALIZZI, S; SCIARRINO, E; VIRDONE, R; PARDO, S; DI BONA, D; LICATA, A; LATTERI, F; CABIBBO, G; MONTALTO, G; LATTERI, M; NICOLI N; CRAXI' A; UNITA' INTERDIPARTIMENTALE NEOPLASIE EPATICHE UINE GROUP|
|Tipologia:||Articolo su rivista|
|Citazione:||CAMMA', C., DI MARCO, V., ORLANDO, A., SANDONATO, L., CASARIL, A., PARISI, P., et al. (2005). Treatment of hepatocellular carcinoma in compensated cirrhosis with radio-frequency thermal ablation (RFTA): a prospective study. JOURNAL OF HEPATOLOGY, 42(4), 535-540.|
|Tipo:||Articolo in rivista|
|Appare nelle tipologie:||01 - Articolo su rivista|