Kĩ thuật và kết quả bước đầu điều trị ung thư gan bằng đốt sóng cao tần tạ khoa chẩn đoán hình ảnh - Bệnh viện Bạch Mai - Hà Nội

Technique and early outcome of RFA in treating HCC at the Radiology Department Bach Mai, Hanoi

summa ry

Hepatocellular carcinoma (HCC) management has become varied with different ways, which are applicable for different stages of the disease. Hepatic resection forms part of the conventional treatment for patients with the disease; however, the majority of primary liver cancers are not suitable for curative treatment at the time of diagnosis. Local curative therapy is getting more and more used. Radiofrequency ablation (RFA) is the first line indication for inoperable patients.

Objective: To describe techniques and early outcomes of RFA in treating HCC patients at Radiology Department, Bach Mai Hospital, Hanoi.

Method: descritive, retrospective, from 4/2010 to 12/2012 on 43 patients; image-guided techniques were used to treat the patients and evaluate results.

Findings: male/female=35/8, average age = 54.5 (36-76), commonest tumor size is 3-5 cm (80%), majority of the patients had Child A (95%) and infected with HBV (98%); ultrasound imaged and cluster needles were performed on 77% and 80% respectively; post-intervention status was stable and without complication on 100% of the patients; 1-year and 2-year suvival rates were 95% and 88% correspondingly, of whom local recurrence appeared in two cases after five months and one case after one year.

Conclusion: RFA in HCC management is safe and effective at the Radiology Department at Bach Mai Hospital, even in complicated cases.