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KMID : 0964020120120010032
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Journal of the Korean Liver Cancer Study Group
2012 Volume.12 No. 1 p.32 ~ p.36
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A Case of Early Hepatocellular Carcinoma Treatment Combined by Transarterial Chemoembolization and Radiofrequency Ablation
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Lim Jun-Uk
Shin Hyun-Phil
Lee Joung-Il
Park Jae-Jun
Jeon Jung-Won
Lim Kyu-Seong
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Abstract
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In most early hepatocellular carcinoma (HCC), surgical resection or liver transplantation is the first choice of treatment.
However, surgery is often impossible because of patient’s physical condition such as advanced liver cirrhosis, other
comorbidities, and radiofrequency ablation (RFA) can be used as substitute treatment. Recently, it has been reported that clinical outcomes of transarterial chemoembolization (TACE) combined with RFA were similar to that of surgical resection. This report describes a 49-year-old male with 1.5 cm sized HCC. Because the patient could not undergo surgical resection and the tumor was not localized on ultrasonography (US), TACE was performed instead. But the residual tumor was still detected on follow-up contrast enhanced US, we performed additional RFA. After combined treatment with TACE and RFA, viable portion of the tumor was not detected on one month follow-up CT and MRI image. The patient remains well without recurrence, 12 months after combined treatment. It is suggested that TACE combined with RFA can be an alternative choice of early small HCC treatment.
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KEYWORD
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Hepatocellular carcinomca, Transarterial chemoembolization, Radiofrequency ablation, Combination therapy
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