微波消融非手术治疗肝转移瘤。

I. Laçi, A. Spahiu
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引用次数: 0

摘要

在采取所有措施的情况下,癌症病例在全球范围内呈上升趋势,因此,死亡率增加了43%(2016年为10.3/10万(美国))[1,2]。在所有类型的癌症中,癌症的5年生存率最低(19%)[1]。癌症(包括癌症肝内胆管)是2000年癌症死亡的第九大原因,2016年上升至第六位[3]。这表明目前急需确定安全有效的癌症治疗方法。微波消融是一种热消融方式,在治疗肝脏恶性肿瘤原发性肿瘤或转移瘤方面具有特殊的适用性。微波可以在短时间内产生非常高的温度,有可能提高较大消融区的治疗效率。我们将展示一位55岁的男性患者。癌症术后6个月。检查正常。右叶包膜下22mm有肝转移。该患者是MWA的良好候选者。结论对于不适合切除的患者/肿瘤,MWA是一种有效且安全的替代方案。MWA后的生存率和复发率显著提高,住院时间和手术时间显著缩短,术中出血很少或没有,并发症轻微。根据治疗适应症的不同,它在这些患者的治疗领域中的应用应该越来越多
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Non-surgical Treatment of Metastatic Liver Tumors with Microwave Ablation.
With all the measures taken, the trend of liver cancer cases has increased worldwide, as a consequence, this is accompanied by an increase in mortality by 43% (10.3 per 100,000 in 2016 (USA)) [1, 2]. Liver cancer is also associated with the lowest 5-year survival rate among all types of cancer (19%) [1]. Liver cancer (including intrahepatic bile duct cancer) was the ninth leading cause of cancer death in 2000 and rose to sixth in 2016 [3]. This shows that the identification of safe and effective treatments for liver cancer is urgent now. Microwave ablation is a thermal ablation modality that has particular applicability in treating hepatic malignancies primary tumors or metastases. Microwaves can generate very high temperatures in short time periods, potentially leading to improved treatment efficiency in larger ablation zones. We will show a patient male 55 years old. Post-surgery of colon cancer 6 months ago. Normal exam. There is e liver metastasis in the right lobe subcapsular 22mm. The patient was a good candidate for MWA. Conclusions MWA is an effective and safe alternative in patients/tumors that are not suitable for resection. Survival and recurrence outcomes after MWA are significantly improved with significantly shorter hospital stays and operative times, with little or no intraoperative blood loss and minor complications. Its use should be extended more and more in the field of treatment of these patients depending on the therapeutic indications
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