Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma | ||||
| Benha Medical Journal | ||||
| Article 14, Volume 42, Issue 1, January 2025, Page 136-142 PDF (585.62 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2024.305499.2139 | ||||
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| Authors | ||||
Ebada Said1; Hisham S Mohamed2; Ahmed Saafan3; Mahmoud Salah Mahmoud  4; Mohammed El-Sayed El- Shewi5
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| 1Professor of Hepatology, Gastroenterology and Infectious Diseases Faculty of Medicine -Benha University | ||||
| 2Gastroenterology & Hepatology department, Faculty of Medicine-Benha University | ||||
| 3Consultant of Intervention Radiology Kafr El Sheikh Liver Research center | ||||
| 4Diploma in Hepatology, Gastroenterology and Infectious Diseases Benha University | ||||
| 5Hepatology, Gastroenterology and Infectious diseases Department, Faculty of Medicine, Benha University, Benha, Egypt. | ||||
| Abstract | ||||
| Introduction: Exophytic hepatocellular carcinoma (HCC) need a multidisciplinary approach management tailored to individual patient for a better outcome. Microwave ablation is one of the commonly used ablative modality to treat HCCs. Objective: The aim of this study was to evaluate the efficacy of percutaneous microwave ablation (MWA) for exophytic HCC. Methods: A prospective study was conducted on 40 cases with exophytic HCC. Microwave ablation was performed percutaneously for all patients with followed up. Results: 80 % of cases showed complete ablation while 20 % of cases have incomplete ablation. Only 18.8 % of cases showed recurrence while no recurrence in 81.2 % of cases. The complications of MWA were reported by 15 % of cases and were minor complications. There was significant decrease in alpha fetoprotein (AFP) after MWA. Conclusion: This study showed that microwave ablation can be safely performed for exophytic HCCs with effective and satisfactory outcomes. Results: 80 % of cases showed complete ablation while 20 % of cases have incomplete ablation. Only 18.8 % of cases showed recurrence while no recurrence in 81.2 % of cases. The complications of MWA were reported by 15 % of cases and were minor complications. There was significant decrease in alpha fetoprotein (AFP) after MWA. Conclusion: This study showed that microwave ablation can be safely performed for exophytic HCCs with effective and satisfactory outcomes. | ||||
| Keywords | ||||
| Percutaneous microwave ablation; Exophytic hepatocellular carcinoma; Alpha fetoprotein | ||||
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