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Радиочастотная термодеструкция (термоабляция) остается одним из наиболее востребованных методов локального разрушения опухолей печени. Накоплен многолетний мировой опыт применения в онкологии, опубликовано множество исследований, и практические вопросы редко становятся предметом дискуссий. Вместе с тем все еще остаются стратегические вопросы: когда, кому, в каких ситуациях? По сути, признавая эффективность воздействия, специалисты не всегда уверены, при каких обстоятельствах потенциал радиочастотной термодеструкции будет реализован максимально. В обзоре литературы обобщен мировой опыт применения термоабляции при злокачественных опухолях печени. Сделана попытка выделить ключевые позиции при определении стратегии лечения с применением технологии. Безусловный приоритет в выработке оптимального лечения больных злокачественными опухолями печени имеет междисциплинарная кооперация.
Ключевые слова:
печень, злокачественное новообразование, метастазы, радиочастотная термодеструкция, абляция, liver, malignancy, metastases, radiofrequency thermodestruction, ablation
Литература:
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Radiofrequency thermal destruction (thermoablation) remains one of the most popular methods of local destruction of liver tumors. There are perennial international experience in oncology, numerous trials and practical issues are rarely discussed. However, there are still strategic questions: when, to whom, in what cases. In fact, specialists recognizing effective impact do not always sure when thermoablation potential will be realized as much as possible. In this review the authors summarized world experience of liver malignancies thermoablation and tried to identify key positions in determining treatment strategy using this approach. Interdisciplinary approach is an absolute priority in optimal treatment of these patients.
Keywords:
печень, злокачественное новообразование, метастазы, радиочастотная термодеструкция, абляция, liver, malignancy, metastases, radiofrequency thermodestruction, ablation