TACE combined with C-arm CT-guided microwave ablation in treatment of primary hepatic carcinoma on special sites
10.13929/j.issn.1672-8475.2020.01.009
- Author:
Shuwei CAO
1
Author Information
1. Department of Intervention, Weihai Municipal Hospital
- Publication Type:Journal Article
- Keywords:
Carcinoma, hepatocellular;
Embolization, therapeutic;
Microwave ablation;
Special sites;
Tomography, X-ray computed
- From:
Chinese Journal of Interventional Imaging and Therapy
2020;17(1):27-30
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the effect of TACE combined with C-arm CT-guided microwave ablation (MWA) in treatment of primary hepatic carcinoma (PHC) on special site. Methods: Totally 46 patients with PHC on special sites were treated with TACE combined with C-arm CT-guided MWA. CT and MRI of the liver was performed 1 month after operation to evaluate the therapeutic effect. Results: The operations were successfully performed in all 46 patients, including 51 times ablation, 37 patients underwent one time, 4 underwent two times and 2 patients underwent three times of ablation (on average 1.4 times ), and the ablation time was 3-5 min (on average 4 min). After operation, symptoms of abdominal pain, nausea, vomiting and fever etc. were noticed in 21 patients and relieved after symptomatic treatment. No serious adverse reaction occurred. One month after operation, complete necrosis of the tumor was detected in 44 cases, volume reduction ≥10% was found in 4 cases, tumor stable was observed 2 cases, while no tumor progressive case was found. All patients were alive so far. Conclusion: TACE combined with C-arm CT-guided MWA is effective and safe in treatment of PHC on special site.
