Radiofrequency Thermal Ablation versus Microwave Ablation for Small Hepatocellular Carcinoma
Mohamed, M., Abd El-Raouf, H., El Agawy, W., Elshewi, M., Hamed, E. (2015). Radiofrequency Thermal Ablation versus Microwave Ablation for Small Hepatocellular Carcinoma. EKB Journal Management System, 5(3), 171-176. doi: 10.21608/aeji.2015.17826
Mohamed Abd El-Hamid Mohamed; Hatem Abd El-Raouf; Waleed Ahmed El Agawy; Mohamed Elshewi; Esam Hamed. "Radiofrequency Thermal Ablation versus Microwave Ablation for Small Hepatocellular Carcinoma". EKB Journal Management System, 5, 3, 2015, 171-176. doi: 10.21608/aeji.2015.17826
Mohamed, M., Abd El-Raouf, H., El Agawy, W., Elshewi, M., Hamed, E. (2015). 'Radiofrequency Thermal Ablation versus Microwave Ablation for Small Hepatocellular Carcinoma', EKB Journal Management System, 5(3), pp. 171-176. doi: 10.21608/aeji.2015.17826
Mohamed, M., Abd El-Raouf, H., El Agawy, W., Elshewi, M., Hamed, E. Radiofrequency Thermal Ablation versus Microwave Ablation for Small Hepatocellular Carcinoma. EKB Journal Management System, 2015; 5(3): 171-176. doi: 10.21608/aeji.2015.17826

Radiofrequency Thermal Ablation versus Microwave Ablation for Small Hepatocellular Carcinoma

Afro-Egyptian Journal of Infectious and Endemic Diseases
Article 5, Volume 5, Issue 3, September 2015, Page 171-176  XML PDF (213.07 K)
Document Type: Original Article
DOI: 10.21608/aeji.2015.17826
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Authors
Mohamed Abd El-Hamid Mohamed1; Hatem Abd El-Raouf1; Waleed Ahmed El Agawy2; Mohamed Elshewi1; Esam Hamed2
1Hepatology, Gastroenterology and Infectious Diseases Department, Faculty of Medicine, Benha University,Benha,Egypt
2Hepatology, Gastroenterology and Infectious Diseases Department, Mahalla Hepatology Teaching Hospital, Egypt
Abstract
Background and Study Aim : Hepato-cellular carcinoma (HCC) is the fifth most common form of cancer worldwide and the third most common cause of cancer-related deaths. This study was designed to investigate the therapeutic efficacy ofpercutaneous Radiofrequency ablation versus Microwave ablation for small HCC measuring ≤3 cm in diameter.
Patients and methods : This study was carried out in Al-Mahalla Hepatology Teaching Hospital on 30 patients with cirrhosis and small HCC. All the patients were evaluated by thorough history, clinical examination, laboratory investigations, abdominal ultrasound and spiral triphasic CT.
Results: The mean age was 56.2±5.8, 70% (21) were males and 30% (9) were females. There was highly statistical significant increase in liver function in MW ablation as regard AST, ALT and bilirubin, and decrease in a FP level of both groups after treatment. There was no significant difference between two groups in the response to treatment as regarding Triphasic CT and complications.
Conclusion: Microwave (MW) and Radiofrequency (RF) ablation are similar in pathologic appearance and imaging characteristics, but RFA has many limitations and many complications. MW ablation offers many of the advantages of RF ablation while overcoming some of its limitations and the heat-sink effect. 
Keywords
Hepatocellular carcinoma; Radiofrequency ablation; Microwave ablation
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