检索结果-南通市图书馆

radiological findings in non-surgical recurrent hepatocellular carcinoma:From locoregional treatments to immunotherapy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2023年第11期29卷 1669-1684页

作者： Davide Ippolito Cesare Maino Marco Gatti Paolo Marra Riccardo Faletti Francesco Cortese Riccardo Inchingolo Sandro Sironi Department of radiology IRCCS San Gerardo dei TintoriMonza 20900Italy School of Medicine and Surgery University of Milano-BicoccaMilano 20121Italy Department of Surgical Sciences University of TurinTurin 10126Italy Department of Diagnostic and Interventional radiology Papa Giovanni ⅩⅩⅢ HospitalBergamo 24127Italy Interventional radiology Unit “F.Miulli”Regional General HospitalBari 70121Italy

Since hepatocellular carcinoma(HCC)represents an important cause of mortality and morbidity all over the ***,it is fundamental not only to achieve a curative treatment but also to manage in the best way any possible *** if the latest update of the Barcelona Clinic Liver Cancer guidelines for HCC treatment has introduced new locoregional techniques and confirmed others as well-established clinical practices,there is still no consensus about the treatment of recurrent HCC(RHCC).Locoregional treatments and medical therapy represent two of the most widely accepted approaches for disease control,especially in the advanced stage of liver *** medical treatments are now approved,and others are under *** this basis,radiology plays a central role in the diagnosis of RHCC and the assessment of response to locoregional treatments and medical therapy for *** review summarized the actual clinical practice by underlining the importance of the radiological approach both in the diagnosis and treatment of RHCC.

关键词： Carcinoma Hepatocellular Liver ablation Catheter radio frequency ablation ablation techniques Medication therapy management RECIST

Impact of endoscopic ultrasound-guided radiofrequency ablation in managing pancreatic malignancy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2023年第2期15卷 163-168页

作者： Cosmas Rinaldi Adithya Lesmana Hepatobiliary Division Internal Medicine DepartmentDr.Cipto Mangunkusumo National General HospitalUniversitas IndonesiaJakarta 10430Indonesia Digestive Disease and Gastrointestinal Oncology Center Medistra HospitalJakarta 12950Indonesia Gastrointestinal Cancer Center MRCCC Siloam Semanggi HospitalJakarta 12930Indonesia

Pancreatic malignancy is still the most lethal gastrointestinal *** has a very poor prognosis with low survival *** is still the main treatment option for pancreatic *** patients already have locally advanced and even late stage disease due to non-specific abdominal *** though some cases are still suitable for surgical treatment,due to its aggressiveness adjuvant chemotherapy is becoming the standard treatment for controlling the *** ablation(RFA)is a thermal therapy that has been used as one of the standard treatments for liver *** can also be performed *** are several reports on percutaneous RFA treatment for pancreatic malignancy using transabdominal ultrasound and guided by computed tomography ***,due to its anatomical location and the risk of high radiation exposure,these methods seem to be very *** ultrasound(EUS)has been widely used for pancreatic abnormality evaluation due to its ability to detect more accurately,especially small pancreatic lesions,compared to other imaging *** the EUS approach,it is easier to achieve good visualization of tumor ablation and necrosis as the echoendoscope position is closer to the tumor *** on studies and a recent meta-analysis,EUS-guided RFA is a promising treatment approach for most pancreatic malignancy cases,but most studies only collected data from a small sample *** studies are needed before clinical recommendations can be made.

关键词： Endoscopic ultrasound radio frequency ablation Percutaneous Surgery Pancreatic malignancy

Intraperitoneal hemorrhage during and after percutaneous radiofrequency ablation of hepatic tumors: reasons and management

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2005年第20期118卷 1682-1687页

作者： CHEN Min-hua DAI Ying YAN Kun YANG Wei GAO Wen WU Wei LIAO Sheng-ri HAO Chun-yi Department of Ultrasound School of Oncology Peking UniversityBeijing 100036 China Department of Surgery School of Oncology Peking UniversityBeijing 100036 China

Background Introperitoneal hemorrhage is one of the most common complications of radiofrequency （RF） ablation of hepatic tumors. This study was designed to investigate the reason and management of intraperitoneal hemorrhage occurred during or after percutaneous RF ablation of hepatic tumors.Methods Three hundred and flfty-six patients with hepatic tumors have been treated at 592 procedures of ultrasound guided RF ablation. Intraperitoneal hemorrhage occurred in 5 patients （0. 8% ）. The reasons and management of intraperitoneal hemorrhage in these 5 cases were retrospectively analyzed.Results Two patients with liver metastasis and one hepatocellular carcinoma （HCC） patient suffered from hemorrhage during the RF treatment. Two patients with recurrent HCC after surgery developed hemorrhage 20 minutes or 4 hours after RF treatment. One case of hemorrhage was due to the inappropriate electrode positioning induced liver laceration while treating a 1 cm liver metastasis near the liver capsule. One was due to the injury of a small vessel by the RF needle in another liver metastasis patient. Three cases were due to tumor rupture with two cases induced by cough or position change after treating large protruding HCC lesions. Four （80%） of the 5 cases of hemorrhage were rapidly identified by ultrasound. The causes and sites of bleeding during the RF treatment in three cases were confirmed through ultrasound, which were successfully treated using RF coagulation to achieve hemostasis of the bleeding site. Two patients with post-ablation hemorrhage recovered in one hour and 24 hours, respectively after given blood transfusion and other conservative measures. No surgical intervention was required. Two patients died of wide spread metastasis 23-36 months afterwards and the other three patients have lived for 18-25 months to date.Conclusions It is important to perform close monitoring during and after RF ablation in order to identify intraperitoneal hemorrhage in time. RF ablat

关键词： liver neoplasm radio frequency ablation complication intraperitoneal hemorrhage ultrasound

A case of splenic abscess after radiofrequency ablation

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2006年第26期12卷 4256-4258页

作者： Dimitris Zacharoulis Emmanuel Katsogridakis Constantinos Hatzitheofilou Department of Surgery University Hospital of LarissaUniversity of ThessalyGreece

radiofrequency ablation （RFA） is an innovative technique used primarily for the palliative treatment of unresectable liver tumors. Its therapeutic indications however, have been expanded and now include various other organs and diseases. There is a paucity of data regarding technical details and complications of the use of RFA in the spleen. We report a case of partial splenectomy using radiofrequency ablation for splenic hydatid disease, complicated by an abscess formation.

关键词： radio frequency ablation Partial splenectomy Abscess Hydatid disease

Role of diabetes mellitus on the recurrence rate of hepatocellular carcinomas after radiofrequency ablation in chronic hepatitis C patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatoma Research 2015年第1期1卷 24-29页

作者： Abd Allah Ahmed El-Sawy Mohamed Abd El-Raouf Tawfik Hepatogastroenterology and Endoscopy Unit Internal Medicine DepartmentTanta University HospitalTanta 31527Egypt

Aim:The aim was to assess the impact of hyperglycemia on the recurrence of hepatocellular carcinoma(HCC)as well as evaluate survival after curative ablation by ***:This study,which was conducted retrospectively on 107 chronic hepatitis C(CHC)patients with 159 HCCs,was presented to the Hepatology Unit of Internal Medicine Department at Tanta University *** lesions were curatively treated by radiofrequency ablation(RFA)and the surveillance of HCC recurrence was evaluated radiologically every 3 months for periods between 6 and 36 *** 107 subjects,70 were males and 37 were females,with mean age 50.4±9.4 *** patients were divided according to their glycemic state into the following three groups:Group I,which included 37 type 2 diabetic patients,with adequate maintenance of blood glucose,has 52 HCCs;Group II,which included 25 type 2 diabetic patients with inadequate maintenance of blood glucose,has 43 HCCs;and Group III,which included 45 euglycemic non-diabetic patients,has 64 ***:Our results showed that,there was signifi cant increase in recurrence rate in diabetic patients with inadequate maintenance of blood glucose(Group II)compared to those in Group I and Group III(P<0.0001).Interestingly,there was no signifi cant difference concerning HCC recurrence between diabetic patients with adequate maintenance of blood glucose(Group I)and non-diabetic euglycemic patients(Group III).Our results also identifi ed that,inadequate maintenance of blood glucose in diabetic patients was also a signifi cant predictor of poor ***:Inadequate maintenance of blood glucose in diabetic patients is a signifi cant risk factor for recurrence of HCC and for poor survival after curative RFA therapy in CHC patients.

关键词： Hepatocellular carcinoma hyperglycemia radio frequency ablation recurrence survival