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Cirujano general
versión impresa ISSN 1405-0099
Resumen
MARTINEZ-MIER, Gustavo et al. Radiofrequency ablation results in hepatocellular carcinoma treatment in Veracruz, Mexico. Cir. gen [online]. 2021, vol.43, n.1, pp.23-29. Epub 15-Ago-2022. ISSN 1405-0099. https://doi.org/10.35366/103910.
Introduction:
Hepatocellular carcinoma (HCC) is the most frequent malignant primary liver tumor. Only 15% of patients will undergo surgical resection or transplantation, thus local ablation is an important treatment with many advantages.
Objective:
To evaluate the effectiveness of radiofrequency ablation in our population.
Material and methods:
Retrospective study of patients with hepatocellular carcinoma undergoing radiofrequency ablation, analyzing sociodemographic variables, tumor relate, stage (Child-Pugh, OKUDA, BCLC, CLIP, MELD and ALBI), use of sorafenib and survival.
Results:
Sixteen patients (average age 71.25 years) with concomitant pathology in 87.5%, were analyzed. 62.5% of the patients suffered cirrhosis, 56.3% Child-Pugh A and 6.3% B. 62.5% of patients were OKUDA I. 37.5% with BCLC A, 56.3% BCLC B and 6.3% BCLC C. 56.3% were CLIP 0. Average MELD 8.44 ± 2.15 and average ALBI -2.54 ± 0.42. Tumor size was 5.81 ± 2.81 cm and use of sorafenib in 25%. Average survival was 37.76 months, survival rate 58.5% at one year and 23.4% at five. Low body mass index was associated with low survival (p = 0.031).
Conclusion:
Our study indicates that radiofrequency ablation is used in patients with hepatocellular carcinoma in various stages and sometimes in tumors > 5 cm, making survival shorter than other studies.
Palabras llave : Hepatocellular carcinoma; radiofrequency ablation; survival; body mass index.