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[Clinical value of CT-guided high frequency-induced thermotherapy as a treatment for intrahepatic cholangiocarcinoma].

AbstractOBJECTIVE:
To evaluate the therapeutic effect of CT-guided high frequency-induced thermotherapy (HiTT) for intrahepatic cholangiocarcinoma.
METHODS:
Seventeen patients of intrahepatic cholangiocarcinoma with 21 lesions underwent comprehensive treatment with HiTT as the principle approach. As to the patients with obstructive jaundice, percutaneous trans-hepatic cholangial drainage (PTCD) or bile duct endoprosthesis placement was performed first to improve the liver function, then HiTT was performed; and patients without obstructive jaundice underwent CT-guided HiTT directly, 1-2 weeks later, chemotherapy was given for 4 - 6 courses.
RESULTS:
CT scan 1 week after HiTT showed a short-term achievement rate of 100% (17/17), and the single puncture in situ ablation rate was 76.1% (16/21). The average life span in the near future was 13.5 months. The adverse effects included topo-bleeding, pain after procedure, liver function damage, defervescence, etc. All the patients recovered after symptomatic treatment.
CONCLUSION:
The clinical value of CT-guided HiTT for intrahepatic cholangiocarcinoma is obvious.
AuthorsWei-Jun Fan, Liang Zhang, Yang-Kui Gu, Li-Gang Wang, Yu-Shu Ouyang
JournalZhonghua yi xue za zhi (Zhonghua Yi Xue Za Zhi) Vol. 88 Issue 25 Pg. 1759-62 (Jul 01 2008) ISSN: 0376-2491 [Print] China
PMID19035087 (Publication Type: English Abstract, Journal Article)
Topics
  • Aged
  • Bile Duct Neoplasms (therapy)
  • Bile Ducts, Intrahepatic
  • Catheter Ablation (methods)
  • Cholangiocarcinoma (therapy)
  • Diathermy (methods)
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed

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