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肝转移瘤消融治疗:现状。

Ablation of liver metastases: current status.

机构信息

Department of Radiology, Massachusetts General Hospital, 55 Fruit St, White 270, Boston, MA 02114, USA.

出版信息

J Vasc Interv Radiol. 2010 Aug;21(8 Suppl):S214-22. doi: 10.1016/j.jvir.2010.01.046.

DOI:10.1016/j.jvir.2010.01.046
PMID:20656231
Abstract

Local ablative therapy for the treatment of metastatic disease to the liver has been evaluated most extensively in colorectal cancer with 5-year survival rates up to 55% after RF ablation. Recent findings suggest selected patients with other malignant processes may benefit as well, but conclusive evidence is limited. This article reviews the available literature regarding the use of radiofrequency ablation, microwave ablation, and cryoablation in the treatment of metastatic disease to the liver. The published results of each of these modalities in the treatment of metastatic disease to the liver are promising, and outcomes continue to be evaluated.

摘要

局部消融治疗在转移性肝癌的治疗中得到了最广泛的评估,在结直肠癌中,射频消融后的 5 年生存率高达 55%。最近的研究结果表明,其他恶性肿瘤的一些特定患者也可能从中受益,但确凿的证据有限。本文回顾了射频消融、微波消融和冷冻消融在治疗转移性肝癌中的应用相关文献。这些方法在治疗转移性肝癌中的应用结果都很有前景,其疗效也在持续评估中。

相似文献

1
Ablation of liver metastases: current status.肝转移瘤消融治疗:现状。
J Vasc Interv Radiol. 2010 Aug;21(8 Suppl):S214-22. doi: 10.1016/j.jvir.2010.01.046.
2
[Cryoablation--a treatment option for inoperable liver tumors?].[冷冻消融术——不可切除性肝肿瘤的一种治疗选择?]
Tidsskr Nor Laegeforen. 2001 Sep 10;121(21):2510-5.
3
[Techniques of thermal ablation in primary hepatic carcinoma and metastatic tumors of colorectal cancer].[原发性肝癌及结直肠癌肝转移瘤的热消融技术]
Pol Merkur Lekarski. 2004 Jan;16(91):82-5.
4
Ablation of skeletal metastases: current status.骨骼转移灶的消融治疗:现状。
J Vasc Interv Radiol. 2010 Aug;21(8 Suppl):S242-50. doi: 10.1016/j.jvir.2010.05.001.
5
Percutaneous ablation of hepatocellular carcinoma: current status.经皮消融治疗肝细胞癌:现状。
J Vasc Interv Radiol. 2010 Aug;21(8 Suppl):S204-13. doi: 10.1016/j.jvir.2009.11.025.
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Local Ablation for Solid Tumor Liver Metastases: Techniques and Treatment Efficacy.实体瘤肝转移的局部消融:技术与治疗效果
Cancer Control. 2016 Jan;23(1):30-5. doi: 10.1177/107327481602300106.
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Radiofrequency ablation of liver cancer.肝癌的射频消融术
Tech Vasc Interv Radiol. 2007 Mar;10(1):38-46. doi: 10.1053/j.tvir.2007.08.006.
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[Efficacy of local ablation therapy for liver metastasis from colorectal cancer--radiofrequency ablation and microwave coagulation therapy].[局部消融治疗结直肠癌肝转移的疗效——射频消融与微波凝固治疗]
Nihon Geka Gakkai Zasshi. 2001 May;102(5):390-7.
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Ablative therapies for colorectal liver metastases: a systematic review.结直肠肝转移的消融治疗:系统评价。
Colorectal Dis. 2011 Sep;13(9):e252-65. doi: 10.1111/j.1463-1318.2011.02695.x.
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Thermal ablation for hepatocellular carcinoma.肝细胞癌的热消融治疗
Gastroenterology. 2004 Nov;127(5 Suppl 1):S167-78. doi: 10.1053/j.gastro.2004.09.031.

引用本文的文献

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Stereotactic body radiotherapy for primary and metastatic liver tumors - the Mayo Clinic experience.立体定向体部放疗用于原发性和转移性肝肿瘤——梅奥诊所的经验
J Radiosurg SBRT. 2016;4(2):133-144.
2
Comparison of overall survival in patients with unresectable hepatic metastases with or without transarterial chemoembolization: A Propensity Score Matching Study.不可切除肝转移患者行或不行经动脉化疗栓塞治疗的总生存比较:一项倾向评分匹配研究。
Sci Rep. 2016 Oct 13;6:35336. doi: 10.1038/srep35336.
3
Fatal arterial hemorrhage after microwave ablation of multiple liver metastases: The lessons learned.
微波消融多发性肝转移瘤后致命性动脉出血:经验教训
Interv Med Appl Sci. 2013 Sep;5(3):140-3. doi: 10.1556/IMAS.5.2013.3.7. Epub 2013 Sep 16.
4
Magnetic resonance imaging-guided focused laser interstitial thermal therapy for intracranial lesions: single-institution series.磁共振引导聚焦激光间质热疗颅内病变:单中心系列研究。
Neurosurgery. 2013 Dec;73(6):1007-17. doi: 10.1227/NEU.0000000000000144.
5
Multiple applicator hepatic ablation with interstitial ultrasound devices: theoretical and experimental investigation.多通道施源器肝脏消融治疗:理论与实验研究。
Med Phys. 2012 Dec;39(12):7338-49. doi: 10.1118/1.4765459.
6
Magnetic fluid hyperthermia induced by radiofrequency capacitive field for the treatment of transplanted subcutaneous tumors in rats.射频电容场诱导磁流体热疗治疗大鼠皮下移植瘤
Exp Ther Med. 2012 Feb;3(2):279-284. doi: 10.3892/etm.2011.397. Epub 2011 Nov 30.
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MR temperature imaging of nanoshell mediated laser ablation.基于纳米壳介导的激光烧蚀的磁共振温度成像。
Int J Hyperthermia. 2011;27(8):782-90. doi: 10.3109/02656736.2011.614671.
8
Structural parameters governing activity of Pluronic triblock copolymers in hyperthermia cancer therapy.控制普朗尼克嵌段共聚物在热疗癌症治疗中活性的结构参数。
Int J Hyperthermia. 2011;27(7):663-71. doi: 10.3109/02656736.2011.599828.
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Laparoscopic treatment of liver tumours using a two-needle probe bipolar radiofrequency ablation device.腹腔镜下使用双针探头双极射频消融设备治疗肝脏肿瘤。
HPB (Oxford). 2011 Sep;13(9):656-64. doi: 10.1111/j.1477-2574.2011.00347.x. Epub 2011 Jul 13.
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Cryoimmunology for malignant bone and soft-tissue tumors.冷冻免疫学治疗恶性骨与软组织肿瘤。
Int J Clin Oncol. 2011 Apr;16(2):109-17. doi: 10.1007/s10147-011-0218-2. Epub 2011 Mar 12.