Radiofrequency Ablation for Treating Malignant Tumors to the Liver


Author

Method

Patients (n)

Tumor size (cm)

Overall survival

p

1 y (%)

3 y (%)

5 y (%)

Vivarelli (2004) [17]

Surgery

79

n.a.

83

65

n.a.

0.002

RFA

79

n.a.

78

33

n.a.

Hong (2005) [16]

Surgery

93

2.5 ± 0.8

97.9

83.9

n.a.

0.240

RFA

55

2.4 ± 0.6

100

72.7

n.a.

Montorosi (2005) [31]

Surgery

40

n.a.

84

73

n.a.

0.139

RFA

58

n.a.

85

61

n.a.

Cho (2005) [9]

Surgery

61

3.4 ± 1

98.3

77.4

n.a.

0.77

RFA

99

3.1 ± 0.8

95.8

80.0

n.a.

Ogihara (2005) [32]

Surgery

47

7.4 ± 5.2

75

65

31

n.s.

RFA

40

4.6 ± 2.9

78

58

39

Lü (2006) [5]

Surgery

54

n.a.

91.3

86.4

n.a.

0.808

RFA

51

n.a.

93.5

87.1

n.a.

Chen (2006)a [4]

Surgery

90

n.a.

93.3

73.4

n.a.

n.s.

RFA

90

n.a.

94.4

68.6

n.a.

Lupo (2007) [15]

Surgery

42

4 (3–5)

91

57

43

0.824

RFA

60

3.65 (3–5)

96

53

32

Takahashi (2007) [12]

Surgery

53

2.5 (1–5)

n.a.

n.a.

70.4

0.561

RFA

171

2.1 (0.7–4.8)

n.a.

n.a.

76.8

Guglielmi (2008) [18]

Surgery

91

n.a.

84

64

48

0.01

RFA

109

n.a.

83

42

20

Abu-Hilal (2008) [33]

Surgery

34

3.8 (1.3–5.0)

91

n.a.

56

0.302

RFA

34

3 (2–5)

83

n.a.

57

Hiraoka (2008) [10]

Surgery

59

2.27 ± 0.55

98.1

91.4

59.4

n.s.

RFA

105

1.98 ± 0.52

95.1

87.8

59.3

Huang (2010)a [6]

Surgery

115

n.a.

98.3

92.2

75.5

0.001

RFA

115

n.a.

87

69.6

54.8

Kobayashi (2009) [11]

Surgery

199

2 (0.9–3.0)

96.9

90.3

79

n.s.

RFA

209

1.8 (0.8–3.0)

99

87.4

74.8

Ueno (2009) [14]

Surgery

123

2.7 ± 0.1

99

92

80

0.06

RFA

155

2.0 ± 0.1

98

92

63

Santambrogio (2009)a [13]

Surgery

78

2.87 ± 1.21

93

85

54

0.163

RFA

74

2.66 ± 1.06

88

66

41

Nanashima (2010) [34]

Surgery

144

n.a.

n.a.

77

57

n.a.

RFA

56

n.a.

n.a.

59

51

Nishikawa (2011) [35]

Surgery

69

2.68 ± 0.49

100

81.4

75.6

0.259

RFA

162

1.99 ± 0.62

95.4

79.6

63.1

Hung (2011) [36]

Surgery

229

2.88 ± 1.06

97.3

88.2

79.3

0.009

RFA

190

2.37 ± 0.92

96.6

77.3

67.4

Wang (2012) [37]

Surgery

52

Very early stage

98

98

91.5

0.298

RFA

91

96.7

89.3

72

Wang (2012) [37]

Surgery

208

Early stage

96.1

87.8

77.2

0.088

RFA

254

91.6

73.5

57.4

Feng (2012)a [38]

Surgery

84

2.6 ± 0.8

96

87.6

74.8

0.342

RFA

84

2.4 ± 0.6

93.1

83.1

67.2

Peng (2012) [39]

Surgery

74

1.1 ± 0.5

90.5

70.9

62.1

0.048

RFA

71

1.2 ± 0.6

98.5

87.7

71.9


aProspective study

y year, n.a. not available, n.s. not significant




Table 10.2
Summary of comparative studies on RF ablation in combination with embolization vs. resection in HCC
























































































Author

Method

Patients (n)

Tumor size (cm)

Overall survival

p

1 y (%)

3 y (%)

5 y (%)

Maluccio (2005) [21]

Surgery

40

4.6 (1.8–7)

97

77

56

0.200

RFA & TACE

33

4 (1.7–7)

81

70

58

Yamakado (2008) [22]

Surgery

62

2.7 ± 1.1

97

93

81

0.870

RFA & TACE

104

2.5 ± 0.8

98

94

75

Kagawa (2010) [40]

Surgery

55

2.8 (1–5)

92.5

82.7

76.9

0.788

RFA & TACE

62

2.4 (0.8–5)

100

94.8

64.6

Tashiro (2011) [41]

Surgery

199

2.1 ± 0.63

95.6

90.9

76

0.11

RFA & TACE

87 (69 TACE)

1.8 ± 0.52

97.6

81.4

71



Table 10.3
Summary of studies of RF ablation in colorectal liver metastases








































































































Author

Method

Patients (n)

Tumor size (cm)

Overall survival

p

Median survival

2 y (%)

3 y (%)

5 y (%)

Orshowo (2003) [42]

Surgery

20

4 (2–7)

n.a.

55.4

n.a.

n.s.

41

RFA

25

3 (1–10)

n.a.

52.6

n.a.

37

Abdalla (2004) [43]

Surgery

190

n.a.

n.a.

73

58

0.0001

n.a.

Surgery + RFA

101

n.a.

n.a.

43

n.a.

n.a.

RFA

57

2.5

n.a.

37

n.a.

n.a.

Aloia (2006) [44]

Surgery

150

3 (1–7)

n.a.

79

71

0.001

n.a.

RFA

30

n.a.

57

27

n.a.

Park (2008) [45]

Surgery

59

3.1 (0.5–8)

n.a.

n.a.

48

0.0002

56

RFA

30

2 (0.6–4)

n.a.

n.a.

19

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Jun 4, 2017 | Posted by in ONCOLOGY | Comments Off on Radiofrequency Ablation for Treating Malignant Tumors to the Liver

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