Abstract
Hepatocellular carcinoma near the diaphragm is known as refractory tumor due to its special position. Surgery is regarded as the “golden standard,” but over 70 % of the patients would experience intrahepatic recurrence within 5 years and most of them have been considered unsuitable for operation any more. Also, there are some limits of surgery, such as large surgical trauma, severe cerebrovascular diseases of patients who cannot undergo the surgery, and advanced age of the patients. Retrospective study shows that long-term prognosis of percutaneous ethanol ablation for small tumors (diameter <3 cm) is similar to those reported with the surgery, but it is easier to result in incomplete necrosis for those diameter between 3 and 5 cm or diaphragm damage because of the unclear reflection of tumor nearby the diaphragm sometimes. Some studies have reported that the percutaneous radiofrequency ablation is easier to cause thermal damage in treating the liver tumors near important organs and tissues (including near the diaphragm) and results in tumor recurrence because of the insufficiency of the safe range. In this chapter, microwave ablation for hepatic tumors near the diaphragm is introduced from a clinical result viewpoint.
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Abbreviations
- HCC:
-
Hepatocellular carcinoma
- MWA:
-
Microwave ablation
- RFA:
-
Radiofrequency ablation
- US:
-
Ultrasound
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Jia, Y., Yu, Xl., Liang, P. (2015). Microwave Ablation in the Treatment of Hepatocellular Carcinoma Near Diaphragm. In: Liang, P., Yu, Xl., Yu, J. (eds) Microwave Ablation Treatment of Solid Tumors. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9315-5_12
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DOI: https://doi.org/10.1007/978-94-017-9315-5_12
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