Skip to main content

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 1148 Accesses

Abstract

A diagnosis of hepatocellular carcinoma (HCC) implies a poor prognosis. HCC is the cause of 250,000 deaths worldwide each year. Early HCC is typically clinically silent, and the disease is often well advanced at the first manifestation. Since the introduction of surveillance in patients at high risk of developing HCC, the diagnosis of small HCC has increased, especially in endemic areas such as in parts of Asia. Without treatment, there is a 5-year survival rate of less than 5% (Llovet et al. 1999b; Ulner 2000). According to the World Health Organization, by the year 2010, HCC will have surpassed lung cancer as the foremost cause of cancer mortality. The increasing incidence may be related to the wide spread transmission of viral hepatitis, specifically of types B and C, during the 1970s and early 1980s, when illicit use of intravenous narcotics, needle sharing, unsafe sexual activity, and transfusion of unsafe blood and blood products were common practices (Bruix et al. 2001). Patients with liver cirrhosis are at greatest risk for developing HCC and should be monitored every 6 months to detect the tumor at an asymptomatic stage (Bruix and Llovet 2002).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Akamatsu M, Yoshida H, Obi S et al (2004) Evaluation of transcatheter arterial embolization prior to percutaneous tumor ablation in patients with hepatocellular carcinoma: a randomized controlled trial. Liver Int 24:625–629

    Article  PubMed  Google Scholar 

  • de Baere T, Bessoud B, Dromain C et al (2002) Percutaneous radiofrequency ablation of hepatic tumors during temporary venous occlusion. AJR Am J Roentgenol 178:53–59

    PubMed  Google Scholar 

  • Bloomston M, Binitie O, Fraiji E et al (2002) Transcatheter arterial chemoembolization with or without radiofrequency ablation in the management of patients with advanced hepatic malignancy. Am Surg 68:827–831

    PubMed  Google Scholar 

  • Bruix J, Llovet JM (2002) Prognostic prediction and treatment strategy in hepatocellular carcinoma. Hepatology 35:519–524

    Article  PubMed  Google Scholar 

  • Bruix J, Llovet JM, Castells A et al (1998) Transarterial embolization versus symptomatic treatment in patients with advanced hepatocellular carcinoma: results of a randomized, controlled trial in a single institution. Hepatology 27:1578–1583

    Article  PubMed  CAS  Google Scholar 

  • Bruix J, Sherman M, Llovet JM et al (2001) Clinical management of hepatocellular carcinoma. Conclusions of the Barcelona-2000 EASL conference. European Association for the Study of the Liver. J Hepatol 35:421–430

    Article  PubMed  CAS  Google Scholar 

  • Buscarini L, Buscarini E (2001) Therapy of HCC-radiofrequency ablation. Hepatogastroenterology 48:15–19

    PubMed  CAS  Google Scholar 

  • Buscarini L, Buscarini E, Di Stasi M, Vallisa D, Quaretti P, Rocca A (2001) Percutaneous radiofrequency ablation of small hepatocellular carcinoma: long-term results. Eur Radiol 11:914–921

    Article  PubMed  CAS  Google Scholar 

  • Chen MH, Yan K, Yang W et al (2005) [Efficacy of radiofrequency ablation of 343 patients with hepatic tumor and the relevant complications]. Beijing Da Xue Xue Bao 37:292–296

    PubMed  Google Scholar 

  • Curley SA, Izzo F, Ellis LM, Nicolas Vauthey J, Vallone P (2000) Radiofrequency ablation of hepatocellular cancer in 110 patients with cirrhosis. Ann Surg 232:381–391

    Article  PubMed  CAS  Google Scholar 

  • Dupuy DE, Goldberg SN (2001) Image-guided radiofrequency tumor ablation: challenges and opportunitiespart II. J Vasc Interv Radiol 12:1135–1148

    Article  PubMed  CAS  Google Scholar 

  • Elias D, Sideris L, Pocard M, Dromain C, De Baere T (2004) Intraductal cooling of the main bile ducts during radiofrequency ablation prevents biliary stenosis. J Am Coll Surg 198:717–721

    Article  PubMed  Google Scholar 

  • Fan ST, Lai EC, Lo CM, Ng IO, Wong J (1995) Hospital mortality of major hepatectomy for hepatocellular carcinoma associated with cirrhosis. Arch Surg 130:198–203

    PubMed  CAS  Google Scholar 

  • Fisher RA, Maluf D, Cotterell AH et al (2004) Non-resective ablation therapy for hepatocellular carcinoma: effectiveness measured by intention-to-treat and dropout from liver transplant waiting list. Clin Transplant 18:502–512

    Article  PubMed  CAS  Google Scholar 

  • Fontana RJ, Hamidullah H, Nghiem H et al (2002) Percutaneous radiofrequency thermal ablation of hepatocellular carcinoma: a safe and effective bridge to liver transplantation. Liver Transpl 8:1165–1174

    Article  PubMed  Google Scholar 

  • Gadaleta C, Mattioli V, Colucci G et al (2004) Radiofrequency ablation of 40 lung neoplasms: preliminary results. AJR Am J Roentgenol 183:361–368

    PubMed  Google Scholar 

  • Gillams AR (2003) Radiofrequency ablation in the management of liver tumours. Eur J Surg Oncol 29:9–16

    Article  PubMed  CAS  Google Scholar 

  • Gillams AR (2005) The use of radiofrequency in cancer. Br J Cancer 92:1825–1829

    Article  PubMed  CAS  Google Scholar 

  • Goldberg SN, Ahmed M (2002) Minimally invasive imageguided therapies for hepatocellular carcinoma. J Clin Gastroenterol 35:S115–S129

    Article  PubMed  CAS  Google Scholar 

  • Goldberg SN, Gazelle GS, Halpern EF, Rittman WJ, Mueller PR, Rosenthal DI (1996) Radiofrequency tissue ablation: importance of local temperature along the electrode tip exposure in determining lesion shape and size. Acad Radiol 3:212–218

    Article  PubMed  CAS  Google Scholar 

  • Koda M, Murawaki Y, Mitsuda A et al (2000) Predictive factors for intrahepatic recurrence after percutaneous ethanol injection therapy for small hepatocellular carcinoma. Cancer 88:529–537

    Article  PubMed  CAS  Google Scholar 

  • Kurokohchi K, Masaki T, Miyauchi Y et al (2004) Efficacy of combination therapies of percutaneous or laparoscopic ethanol-lipiodol injection and radiofrequency ablation. Int J Oncol 25:1737–1743

    PubMed  CAS  Google Scholar 

  • Lai EC, Fan ST, Lo CM, Chu KM, Liu CL, Wong J (1995) Hepatic resection for hepatocellular carcinoma. An audit of 343 patients. Ann Surg 221:291–298

    Article  PubMed  CAS  Google Scholar 

  • Lencioni R, Bartolozzi C, Caramella D et al (1995) Treatment of small hepatocellular carcinoma with percutaneous ethanol injection. Analysis of prognostic factors in 105 Western patients. Cancer 76:1737–1746

    Article  PubMed  CAS  Google Scholar 

  • Lencioni R, Cioni D, Crocetti L, Bartolozzi C (2004) Percutaneous ablation of hepatocellular carcinoma: state-of-theart. Liver Transpl 10:S91–S97

    Article  PubMed  Google Scholar 

  • Lencioni R, Cioni D, Crocetti L et al (2005a) Early-stage hepatocellular carcinoma in patients with cirrhosis: long-term results of percutaneous image-guided radiofrequency ablation. Radiology 234:961–967

    Article  PubMed  Google Scholar 

  • Lencioni R, Della Pina C, Bartolozzi C (2005b) Percutaneous image-guided radiofrequency ablation in the therapeutic management of hepatocellular carcinoma. Abdom Imaging 30:401–408

    Article  PubMed  CAS  Google Scholar 

  • Liver Cancer Study Group of Japan (1990) Primary liver cancer in Japan Clinicopathologic features and results of surgical treatment. Ann Surg 211:277–287

    Google Scholar 

  • Livraghi T, Giorgio A, Marin G et al (1995) Hepatocellular carcinoma and cirrhosis in 746 patients: long-term results of percutaneous ethanol injection. Radiology 197:101–108

    PubMed  CAS  Google Scholar 

  • Livraghi T, Goldberg SN, Monti F et al (1997) Saline-enhanced radio-frequency tissue ablation in the treatment of liver metastases. Radiology 202:205–210

    PubMed  CAS  Google Scholar 

  • Livraghi T, Goldberg SN, Lazzaroni S et al (2000) Hepatocellular carcinoma: radio-frequency ablation of medium and large lesions. Radiology 214:761–768

    PubMed  CAS  Google Scholar 

  • Livraghi T, Solbiati L, Meloni MF, Gazelle GS, Halpern EF, Goldberg SN (2003) Treatment of focal liver tumors with percutaneous radio-frequency ablation: complications encountered in a multicenter study. Radiology 226:441–451

    Article  PubMed  Google Scholar 

  • Livraghi T, Lazzaroni S, Meloni F, Solbiati L (2005) Risk of tumour seeding after percutaneous radiofrequency ablation for hepatocellular carcinoma. Br J Surg 92:856–858

    Article  PubMed  CAS  Google Scholar 

  • Llovet JM, Bru C, Bruix J (1999a) Prognosis of hepatocellular carcinoma: the BCLC staging classification. Semin Liver Dis 19:329–338

    PubMed  CAS  Google Scholar 

  • Llovet JM, Bustamante J, Castells A et al (1999b) Natural history of untreated nonsurgical hepatocellular carcinoma: rationale for the design and evaluation of therapeutic trials. Hepatology 29:62–67

    Article  PubMed  CAS  Google Scholar 

  • Llovet JM, Fuster J, Bruix J (1999c) Intention-to-treat analysis of surgical treatment for early hepatocellular carcinoma: resection versus transplantation. Hepatology 30:1434–1440

    Article  PubMed  CAS  Google Scholar 

  • Llovet JM, Real MI, Montana X et al (2002) Arterial embolisation or chemoembolisation versus symptomatic treatment in patients with unresectable hepatocellular carcinoma: a randomised controlled trial. Lancet 359:1734–1739

    Article  PubMed  Google Scholar 

  • Llovet JM, Burroughs A, Bruix J (2003) Hepatocellular carcinoma. Lancet 362:1907–1917

    Article  PubMed  Google Scholar 

  • Lu DS, Yu NC, Raman SS et al (2005) Percutaneous radiofrequency ablation of hepatocellular carcinoma as a bridge to liver transplantation. Hepatology 41:1130–1137

    Article  PubMed  Google Scholar 

  • Mazzaferro V, Regalia E, Doci R et al (1996) Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. N Engl J Med 334:693–699

    Article  PubMed  CAS  Google Scholar 

  • Mazzaferro V, Battiston C, Perrone S et al (2004) Radiofrequency ablation of small hepatocellular carcinoma in cirrhotic patients awaiting liver transplantation: a prospective study. Ann Surg 240:900–909

    Article  PubMed  Google Scholar 

  • Moreno Planas JM, Lopez Monclus J, Gomez Cruz A et al (2005) Efficacy of hepatocellular carcinoma locoregional therapies on patients waiting for liver transplantation. Transplant Proc 37:1484–1485

    Article  PubMed  CAS  Google Scholar 

  • Mulier S, Mulier P, Ni Y et al (2002) Complications of radiofrequency coagulation of liver tumours. Br J Surg 89:1206–1222

    Article  PubMed  CAS  Google Scholar 

  • Poon RT, Fan ST, Tsang FH, Wong J (2002) Locoregional therapies for hepatocellular carcinoma: a critical review from the surgeon’s perspective. Ann Surg 235:466–486

    Article  PubMed  Google Scholar 

  • Qian J, Feng GS, Vogl T (2003) Combined interventional therapies of hepatocellular carcinoma. World J Gastroenterol 9:1885–1891

    PubMed  Google Scholar 

  • Raut CP, Izzo F, Marra P et al (2005) Significant long-term survival after radiofrequency ablation of unresectable hepatocellular carcinoma in patients with cirrhosis. Ann Surg Oncol 12:616–628

    Article  PubMed  Google Scholar 

  • Sarasin FP, Giostra E, Mentha G, Hadengue A (1998) Partial hepatectomy or orthotopic liver transplantation for the treatment of resectable hepatocellular carcinoma? A costeffectiveness perspective. Hepatology 28:436–442

    Article  PubMed  CAS  Google Scholar 

  • Tateishi R, Shiina S, Teratani T et al (2005) Percutaneous radiofrequency ablation for hepatocellular carcinoma. An analysis of 1000 cases. Cancer 103:1201–1209

    Article  PubMed  Google Scholar 

  • Ulmer SC (2000) Hepatocellular carcinoma. A concise guide to its status and management. Postgrad Med 107:117–124

    Article  PubMed  CAS  Google Scholar 

  • Yamakado K, Nakatsuka A, Ohmori S et al (2002) Radiofrequency ablation combined with chemoembolization in hepatocellular carcinoma: treatment response based on tumor size and morphology. J Vasc Interv Radiol 13:1225–1232

    Article  PubMed  Google Scholar 

  • Yamasaki T, Kimura T, Kurokawa F et al (2005) Percutaneous radiofrequency ablation with cooled electrodes combined with hepatic arterial balloon occlusion in hepatocellular carcinoma. J Gastroenterol 40:171–178

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jakobs, T.F., Hoffmann, RT., Reiser, M.F., Helmberger, T.K. (2008). Radiofrequency Ablation (RFA). In: Vogl, T.J., Helmberger, T.K., Mack, M.G., Reiser, M.F. (eds) Percutaneous Tumor Ablation in Medical Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68250-9_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68250-9_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22518-8

  • Online ISBN: 978-3-540-68250-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics