肝硬変合併巨大肝細胞癌における開腹下マイクロ波凝固壊死療法の工夫

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  • Microwave coagulation therapy for huge hepatocellular carcinoma with liver cirhosis

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In patients with huge hepatocellular carcinoma (HCC), hepatic resection may be regarded as the only reasonable therapeutic option and expected their long-term prognosis. However, these patients often could not tolerate an extended hepatic resection owing to coexisting cirrhosis, microwave coagulation therapy (MCT) is frequently used. Large HCC, with a diameter of more than 5 cm, is frequently difficult to control with MCT.<br>We performed MCT combined with partial tumorectomy in 2 patients with primary liver cancer 10 cm in diameter or more. Although early recurrence was observed in both patients, MCT with partial tumorectomy can be performed safety and is useful for local control, suggesting that prolonged survival can be expected due to the multidisciplinary treatment.

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