慢性腎不全を合併した胆管細胞癌に対してマイクロ波凝固壊死療法を施行した１例

概要

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Recently, microwave coagulo-necrotic therapy (MCN) is becoming popular as one of the therapy for hepatocellular carcinoma (HCC). But it is not clear whether MCN is an effective treatment for adenocarcinoma as metastatic liver tumor or cholangiocellular carcinoma (CCC). We performed open MCN for a case of CCC with chronic renal failure.This case was 76 years old male patient. Abdominal CT scan showed a low density mass about 3.5 cm in diameter in the caudate lobe of the liver and compressed inferior vena cava. Considering his poor health status, advanced age and history of chronic renal failure, curative operation with caudate hepatic lobectomy and the resection of inferior vena cava was impossible. So we selected the open MCN bacause of low operative stress and shorter time. Using 30 mm and 10 mm needle, we performed MCN for the tumor all over.Postoperative course was uneventful and without complications. Through this case, we study and report the effect of MCN for CCC.