肝細胞癌の治療におけるマイクロターゼの役割―各種治療法との比較―

概要

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During 3 decades postoperative survival and morbidity and mortality rates for HCC has been dramatically improved and hepatectomy has became golden standard for HCC. Recently ablation therapy such as ethanol injection therapy (PEI), microwave tissue coagulation therapy (MCT) and radiofrequency therapy (RF) has been widely used as a local therapy because of less invasiveness.According to nationwide survey of The Liver Cancer Study Group of Japan hepatectomy for a solitary HCC greater than 2 cm in all clinical stage showed higher survival rates than PEI or TAE. Only few randomized control studies were reported for evaluation of effectiveness of therapies. RF and MCT result in higher rate of complete necrosis than PEI. However, no RCT study has been reported between hepatectomy and ablation therapy, and it should be needed for choice of appropriate treatment.
特定非営利活動法人 Microwave Surgery研究会の論文