Radiofrequency Ablation of Hepatocellular Carcinoma in Patients with Decompensated Cirrhosis: Evaluation of Therapeutic Efficacy and Safety
Young Kon Kim1,
Chong Soo Kim1,
Gyong Ho Chung1,
Young Min Han1,
Sang Yong Lee1,
Gong Yong Jin1 and
Jeong Min Lee2
1 Department of Diagnostic Radiology, Chonbuk National University Hospital and
Medical School, Jeonju, South Korea.
2 Department of Radiology and Institute of Radiation Medicine, Seoul National
University Hospital, Seoul, Korea, 28, Yongon-dong, Chongno-gu, Seoul 110-744,
South Korea.

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Fig. 1A 57-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Superparamagnetic iron oxide-enhanced T2-weighted turbo
spin-echo image shows high-signal-intensity lesion (arrow).
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Fig. 1B 57-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Superparamagnetic iron oxide-enhanced T2-weighted turbo
spin-echo image obtained 8 months after first radiofrequency ablation shows
small area of high-signal-intensity marginal recurrence (arrow).
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Fig. 1C 57-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. On unenhanced CT scan obtained during radiofrequency
ablation, 17-gauge single electrode with 3.0-cm exposed tip is seen within
tumor.
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Fig. 1D 57-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained immediately after second
radiofrequency ablation shows completely nonenhancing area (arrow) at
site of treated nodule.
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Fig. 1E 57-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained 12 months after
radiofrequency ablation shows decrease in size of nonenhancing area
(arrow), without marginal recurrence.
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Fig. 2A 54-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained before radiofrequency
ablation shows slightly enhancing hepatocellular carcinoma (arrow) in
liver segment V. Small amount of perihepatic ascites is seen.
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Fig. 2B 54-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. On unenhanced CT scan obtained during radiofrequency
ablation, 17-gauge single electrode with 3.0-cm exposed tip is seen within
tumor.
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Fig. 2C 54-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained immediately after
radiofrequency ablation shows completely unenhanced area (arrow) at
site of treated nodule.
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Fig. 2D 54-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained 12 months after
radiofrequency ablation shows decrease in size of nonenhancing area
(arrow), without marginal recurrence. Perihepatic ascites is
increased, compared with A.
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Fig. 3A 60-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained before radiofrequency
ablation shows slightly enhancing hepatocellular carcinoma (large
arrow) in liver segment V. Small amount of perihepatic ascites and
gallbladder stones (small striped arrow) are seen.
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Fig. 3B 60-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained immediately after
radiofrequency ablation shows completely nonenhancing area (arrow) at
site of treated nodule.
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Fig. 3C 60-year-old man with hepatocellular carcinoma complicating Child C
liver cirrhosis. Contrast-enhanced CT scan obtained 25 months after
radiofrequency ablation shows decrease in size of nonenhancing area
(arrow), without marginal recurrence. Perihepatic ascites and size of
gallbladder stones are increased, compared with A. Atrophic liver
changes have also progressed from those shown in A.
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Copyright © 2006 by the American Roentgen Ray Society.