Hepatocellular carcinoma: New options for image-guided ablation

Riccardo Lencioni, Dania Cioni, Clotilde Della Pina, Laura Crocetti

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Image-guided percutaneous ablation is currently accepted as the best therapeutic choice for patients with early-stage hepatocellular carcinoma (HCC) when transplantation and resection are precluded. Several methods for chemical or thermal tumor destruction have been developed and tested clinically during the past two decades. The seminal technique used for local treatment of HCC has been percutaneous ethanol injection (PEI). Several studies have provided indirect evidence that PEI improves the natural history of nonsurgical patients with early-stage HCC. Its major limitation is the high rate of local recurrence. Radiofrequency (RF) ablation has been the most widely assessed alternative to PEI. Five randomized controlled trials have shown that RF ablation achieves more effective and reproducible tumor destruction than PEI, leading to a better local control of the disease. As a result, RF ablation has been established as the primary ablative modality. The value of newer thermal and nonthermal methods for local tumor treatment, such as microwave ablation, irreversible electroporation (IRE), and light activated drug therapy, should be investigated in the setting of randomized controlled trials.

Original languageEnglish (US)
Pages (from-to)399-403
Number of pages5
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Volume17
Issue number4
DOIs
StatePublished - Jul 2010

Keywords

  • Hepatocellular carcinoma
  • Percutaneous ethanol injection
  • Radiofrequency ablation

ASJC Scopus subject areas

  • Medicine(all)

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