The Characteristics of Patients and Recurrence Patterns in Patients with Hepatocellular Carcinoma Treated with Radio-frequency Ablation.
- Author:
Seong Dae LEE
1
;
Chan Young KIM
;
Hee Chul YU
;
Jeong Min LEE
;
Dae Ghon KIM
;
Baik Hwan CHO
Author Information
1. Department of Surgery, Chonbuk National University College of Medicine, Jeonju, Korea. chobh@mail.chonbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Hepatocellular carcinoma;
Radio-frequency thermal ablation;
Surgical ablation
- MeSH:
Ascites;
Bilirubin;
Carcinoma, Hepatocellular*;
Humans;
Liver;
Recurrence*
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2003;7(1):55-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The purpose of our study was to describe the characteristics of patients and recurrence patterns in patients with hepatocellular carcinoma (HCC) treated with radio-frequency ablation (RFA). Those were expected little different in some aspects from that in patients treated with surgical ablation (SA). METHODS: One hundred and twenty-five patients with HCC underwent RFA (Thermal Ablation, TA) between March 1, 1998 and May 31, 2001. Out of these, fifty-seven patients who were amenable to TA as a primary treatment, because of various reasons, were enrolled. Forty-eight patients were underwent SA due to HCC during the same period of time. RESULTS: The patients in the TA group exhibited more frequent ascites (p<0.001) and higher level of serum bilirubin (p<0.001) than SA group. As of April 31 2002, 22 patients (39%) who underwent TA and 7 patients (15%) who underwent SA have had intrahepatic and/or extrahepatic recurrent diseases. The patients in the TA group exhibited higher intrahepatic recurrence rate (p=0.02) and the time to recurrent disease was significantly shorter (p=0.003) than the patients in the SA group. Intriguingly the 28 patients who do not had a history of ascites in the TA group exhibited higher recurrence rate (p=0.011) than those of SA group. The recurrence rate of TA group in patients with diameter less than 3.5 cm was also higher than SA group (p=0.013). Moreover the recurrence rate of AFP producing tumors in the patients of TA was significantly higher than that of SA (p=0.033). CONCLUSION: TA results in higher rate of recurrence (intrahepatic and extrahepatic) even in patients with relatively small HCC (< or =3.5 cm) and normal liver functions. The time to recurrent disease is shorter in TA group than SA group of patients. Interestingly the recurrence rate of AFP producing tumors (>15 ng/ml) in the patients of TA was significantly higher than that of SA.
