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经动脉化疗栓塞联合射频或微波消融治疗肝细胞癌:综述

Transcatheter arterial chemoembolization combined with radiofrequency or microwave ablation for hepatocellular carcinoma: a review.

作者信息

Galanakis Nikolaos, Kehagias Elias, Matthaiou Nikolas, Samonakis Dimitrios, Tsetis Dimitrios

机构信息

Interventional Radiology Unit, Department of Radiology, University Hospital of Heraklion, Faculty of Medicine, University of Crete, Heraklion, P.C. 71110, Greece.

Department of Gastroenterology, University Hospital of Heraklion, Faculty of Medicine, University of Crete, Heraklion, P.C. 71110, Greece.

出版信息

Hepat Oncol. 2018 Sep 28;5(2):HEP07. doi: 10.2217/hep-2018-0001. eCollection 2018 Apr.

DOI:10.2217/hep-2018-0001
PMID:31293775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6613040/
Abstract

Hepatocellular carcinoma (HCC) is the sixth most common type of malignancy. Several therapies are available for HCC and are determined by stage of presentation, patient clinical status and liver function. Local-regional treatment options, including transcatheter arterial chemoembolization, radiofrequency ablation or microwave ablation, are safe and effective for HCC but are accompanied by limitations. The synergistic effects of combined transcatheter arterial chemoembolization and radiofrequency ablation/microwave ablation may overcome these limitations and improve the therapeutic outcome. The purpose of this article is to review the current literature on these combined therapies and examine their efficacy, safety and influence on the overall and recurrence-free survival in patients with HCC.

摘要

肝细胞癌(HCC)是第六大常见恶性肿瘤类型。HCC有多种治疗方法,具体取决于疾病分期、患者临床状况和肝功能。局部区域治疗方案,包括经动脉化疗栓塞、射频消融或微波消融,对HCC安全有效,但也存在局限性。经动脉化疗栓塞与射频消融/微波消融联合应用的协同效应可能克服这些局限性并改善治疗效果。本文旨在综述有关这些联合治疗的当前文献,并探讨其对HCC患者的疗效、安全性以及对总生存期和无复发生存期的影响。

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Transcatheter arterial chemoembolization combined with radiofrequency or microwave ablation for hepatocellular carcinoma: a review.经动脉化疗栓塞联合射频或微波消融治疗肝细胞癌:综述
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本文引用的文献

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Clinical study of transcatheter arterial chemoembolization combined with microwave ablation in the treatment of advanced hepatocellular carcinoma.经动脉化疗栓塞联合微波消融治疗晚期肝细胞癌的临床研究
J Cancer Res Ther. 2016 Dec;12(Supplement):C217-C220. doi: 10.4103/0973-1482.200598.
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Application of radiotherapy for hepatocellular carcinoma in current clinical practice guidelines.放射治疗在当前肝细胞癌临床实践指南中的应用
Radiat Oncol J. 2016 Sep;34(3):160-167. doi: 10.3857/roj.2016.01970. Epub 2016 Sep 28.
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Microwave ablation of hepatocellular carcinoma as first-line treatment: long term outcomes and prognostic factors in 221 patients.微波消融治疗肝细胞癌作为一线治疗:221 例患者的长期疗效和预后因素。
Sci Rep. 2016 Sep 13;6:32728. doi: 10.1038/srep32728.
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Combination Therapy of Radiofrequency Ablation and Transarterial Chemoembolization for Unresectable Hepatocellular Carcinoma: A Retrospective Study.射频消融与经动脉化疗栓塞联合治疗不可切除肝细胞癌:一项回顾性研究
Medicine (Baltimore). 2016 May;95(20):e3754. doi: 10.1097/MD.0000000000003754.
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Treatment of Small Hepatocellular Carcinoma (≤2 cm) in the Caudate Lobe with Sequential Transcatheter Arterial Chemoembolization and Radiofrequency Ablation.尾状叶小肝细胞癌(≤2厘米)的序贯性经动脉化疗栓塞术和射频消融治疗
Cardiovasc Intervent Radiol. 2016 Jul;39(7):1015-22. doi: 10.1007/s00270-016-1314-5. Epub 2016 Mar 14.
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Efficacy and Safety of Radiofrequency Ablation Combined with Transcatheter Arterial Chemoembolization for Hepatocellular Carcinomas Compared with Radiofrequency Ablation Alone: A Time-to-Event Meta-Analysis.与单纯射频消融相比,射频消融联合经动脉化疗栓塞治疗肝细胞癌的疗效和安全性:一项事件时间的Meta分析
Korean J Radiol. 2016 Jan-Feb;17(1):93-102. doi: 10.3348/kjr.2016.17.1.93. Epub 2016 Jan 6.
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Radiofrequency ablation plus chemoembolization versus radiofrequency ablation alone for hepatocellular carcinoma: A systematic review and meta-analysis.射频消融联合化疗栓塞与单纯射频消融治疗肝细胞癌的系统评价和荟萃分析。
Clin Res Hepatol Gastroenterol. 2016 Jun;40(3):309-314. doi: 10.1016/j.clinre.2015.07.008. Epub 2015 Oct 1.
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Guide for diagnosis and treatment of hepatocellular carcinoma.肝细胞癌诊疗指南
World J Hepatol. 2015 Jun 28;7(12):1632-51. doi: 10.4254/wjh.v7.i12.1632.
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Percutaneous microwave ablation vs radiofrequency ablation in the treatment of hepatocellular carcinoma.经皮微波消融与射频消融治疗肝细胞癌的对比
World J Hepatol. 2015 May 18;7(8):1054-63. doi: 10.4254/wjh.v7.i8.1054.
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World J Hepatol. 2015 May 18;7(8):1020-9. doi: 10.4254/wjh.v7.i8.1020.