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Клиническое наблюдение демонстрирует лечебные возможности сочетания различных миниинвазивных радиологических технологий (трансартериальной химиоэмболизации, чрескожной радиочастотной абляции и инъекций этанола) у неоперабельного больного гепатоцеллюлярным раком.
Ключевые слова:
гепатоцеллюлярный рак, радиочастотная абляция, инъекция этанола, артериальная химиоэмболизация, hepatocellular carcinoma, percutaneous radiofrequency ablation, percutaneous ethanol injection, transarterial chemoembolization
Литература:
1.Zhu A.X., Salem R. Combining transarterial chemoembolization with radiofrequency ablation for hepatocellular carcinoma: One step forward? J. Clin. Oncol. 2013; 31 (4): 406-408. doi: 10.1200/JCO.2012.46.1897. PMID: 23269989.
2.Peng Z.-W., Zhang Y.-J., Chen M.-S., Xu L., Liang H.H., Lin X.J., Guo R.P., Zhang Y.Q., Lau W.Y., Zhang Y.-J., Chen M.-S. Radiofrequency ablation with or without transcatheter arterial chemoembolization in the treatment of hepatocellular carcinoma. A prospective randomized trial. J. Clin. Oncol. 2013; 31 (4): 426-432. doi: 10.1200/JCO.2012.42.9936. PMID: 23269991.
3.Lin S.M., Lin C.J., Lin C.C., Hsu C.W., Chen Y.C. Radiofrequency ablation improves prognosis compared with ethanol injection for hepatocellular carcinoma or = 4 см. Gastroenterology. 2004; 127 (6): 1714-1723. PMID: 15578509.
4.Shiina S., Teratani T., Obi S., Sato S., Tateishi R., Fujishima T., Ishikawa T., Koike Y., Yoshida H., Kawabe T., Omata M. A randomized controlled trial of radiofrequency ablation with ethanol injection for small hepatocellular carcinoma. Gastroenterology. 2005; 129 (1): 122-130. PMID: 16012942.
5.Bloomston M., Binitie O., Fraiji E., Murr M., Zervos E., Goldin S., Kudryk B., Zwiebel B., Black T., Fargher S., Rosemurgy A.S. Transcatheter arterial chemoembolization with or without radiofrequency ablation in the management of patients with advanced hepatic malignancy. Am. Surg. 2002; 68 (9): 827-831. PMID: 12356160.
6.Veltri A., Moretto P., Doriguzzi A., Pagano E., Carrara G., Gandini G. Radiofrequency thermal ablation (RFA) after transarterial chemoembolization (TACE) as a combined therapy for unresectable non-early hepatocellular carcinoma (HCC). Eur. Radiol. 2006; 16 (3): 661-669. PMID: 16228211.
7.Yamakado K., Nakatsuka A., Akeboshi M., Shiraki K., Nakano T., Takeda K. Combination therapy with radiofrequency ablation and transcatheter chemoembolization for the treatment of hepatocellular carcinoma: Short-term recurrences and survival. Oncol. Rep. 2004; 11 (1): 105-109. PMID: 14654911.
8.Kim J.H., Won H.J., Shin Y.M., Kim S.H., Yoon H.K., Sung K.B., Kim P.N. Medium-sized (3.1-5.0 см) hepatocellular carcinoma: Transarterial chemoembolization plus radiofrequency ablation versus radiofrequency ablation alone. Ann. Surg. Oncol. 2011; 18 (6): 1624-1629. doi: 10.1245/s10434-011-1673-8. PMID: 21445671.
9.Croce tti L., Lencioni R. Quality improvement guidelines for radiofrequency ablation of liver tumours. Cardiovasc. Intervent. Radiol. 2010; 33 (1): 11-17. doi: 10.1007/s00270-009-9736-y. PMID: 19924474.
This case report demonstrates the therapeutic capabilities of combination of different minimally in vasiveradiology techniques (transarterial chemoembolization, percutaneous radiofrequency ablation, and percutaneous ethanol injection) in a patient with inoperable hepatocellular carcinoma.
Keywords:
гепатоцеллюлярный рак, радиочастотная абляция, инъекция этанола, артериальная химиоэмболизация, hepatocellular carcinoma, percutaneous radiofrequency ablation, percutaneous ethanol injection, transarterial chemoembolization