Huang Jin-Hua, Morelli John N, Ai Fei, Zou Ru-Hai, Gu Yang-Kui, Gao Fei, Zhang Tian-Qi, Yao Wang, Jiang Xiong-Ying, Zhang Yan-Yang
Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, 510060, Guangdong, P. R. China.
Department of Interventional Radiology, St. John's Medical Center, Tulsa, OK, 74131, USA.
Chin J Cancer. 2017 Jan 7;36(1):1. doi: 10.1186/s40880-016-0161-8.
A ruptured hepatocellular carcinoma (HCC) is often fatal. In addition to surgery and transarterial embolization, radiofrequency ablation (RFA) might be another option for treating a ruptured HCC. Unfortunately, conventional RFA has a limited ablation zone; as such, it is rarely used to treat ruptured tumors.
This case was a 60-year-old man who had a large, ruptured HCC in which hydrochloric acid (HCl)-enhanced RFA successfully controlled the bleeding and made the tumor completely necrotic.
Considering the effectiveness of HCl-enhanced RFA in achieving hemostasis and tumor ablation, it might be a new option for treating large, ruptured HCCs.
肝细胞癌(HCC)破裂通常是致命的。除手术和经动脉栓塞外,射频消融(RFA)可能是治疗破裂HCC的另一种选择。不幸的是,传统RFA的消融区域有限;因此,它很少用于治疗破裂的肿瘤。
该病例为一名60岁男性,患有巨大的破裂HCC,盐酸(HCl)增强型RFA成功控制了出血并使肿瘤完全坏死。
考虑到HCl增强型RFA在实现止血和肿瘤消融方面的有效性,它可能是治疗巨大破裂HCC的一种新选择。