Image-guided ablation for hepatocellular carcinoma

Riccardo Lencioni, Laura Crocetti

Research output: Chapter in Book/Report/Conference proceedingChapter

25 Scopus citations

Abstract

Image-guided ablation is accepted as the best therapeutic choice for patients with early-stage hepatocellular carcinoma (HCC) when surgical optionsincluding resection and transplantationare precluded. The term image-guided tumor ablation is defined as the direct application of chemical substances or sources of energy to a focal tumor in an attempt to achieve eradication or substantial tumor destruction. Over the past 25 years, several methods for local tumor destruction have been developed and clinically tested. Radiofrequency ablation (RFA) has shown superior anticancer effect and greater survival benefit with respect to the seminal percutaneous technique, ethanol injection, in meta-analyses of randomized controlled trials, and is currently established as the standard ablative modality. Nevertheless, novel thermal and nonthermal techniques for tumor ablationincluding microwave ablation and irreversible electroporationseem to have potential to improve the efficacy of RFA and are currently undergoing clinical investigation.

Original languageEnglish (US)
Title of host publicationMultidisciplinary Treatment of Hepatocellular Carcinoma
EditorsJean-Nicolas Vauthey, Antoine Brouquet
Pages181-194
Number of pages14
DOIs
StatePublished - Jan 1 2013

Publication series

NameRecent Results in Cancer Research
Volume190
ISSN (Print)0080-0015

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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