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Is Percutaneous Ethanol Injection Therapy Still Effective for Hepatocellular Carcinoma in the Era of Radiofrequency Ablation?

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Author(s)
Jung Hyeok Kwon
Keimyung Author(s)
Kwon, Jung Hyeok
Department
Dept. of Radiology (영상의학)
Journal Title
Gut and Liver
Issued Date
2010
Volume
4
Issue
1
Abstract
Percutaneous ethanol injection (PEI) therapy has been
replaced by more-effective thermal ablation techniques
that have lower local recurrence rates. However, PEI
therapy remains useful in certain settings. Since PEI
can be performed in any portion of the liver, PEI therapy
can be valuable when tumors are located in
close proximity to intestinal loops or other positions
that are risky for thermal local ablative techniques.
PEI therapy is also valuable in other situations where
radiofrequency ablation (RFA) is difficult, including
technically difficult masses that are not detected with
ultrasound (US), are located in the hepatic dome, in
the subcapsular area, and exophytically, or are surrounded
by large vessels. PEI therapy contributes to
combination therapy with transcatheter arterial chemoembolization
or RFA in advanced-stage hepatocellular
carcinoma (HCC), and also to the treatment of large
HCC or extrahepatic metastasis from HCC. These
roles of PEI therapy should be stressed for the treatment
of HCCs in appropriate clinical situations. This
comprehensive review of articles related to PEI therapy
illustrates the recent role and indications of this
therapy, which is currently valuable for HCC in the
era of RFA. (Gut Liver 2010;4(Suppl. 1):S105-112)
Keimyung Author(s)(Kor)
권중혁
Publisher
School of Medicine
Citation
Jung Hyeok Kwon. (2010). Is Percutaneous Ethanol Injection Therapy Still Effective for
Hepatocellular Carcinoma in the Era of Radiofrequency Ablation? Gut and Liver, 4(1), S105–S112. doi: 10.5009/gnl.2010.4.S1.S105
Type
Article
ISSN
1976-2283
DOI
10.5009/gnl.2010.4.S1.S105
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35788
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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