Local Tumor Progression After Radiofrequency Ablation of Liver Tumors: Analysis of Morphologic Pattern and Site of Recurrence
Shiu Kong Kei1,2,
Hyunchul Rhim1,
Dongil Choi1,
Won Jae Lee1,
Hyo K. Lim1 and
Young-sun Kim1
1 Department of Radiology and Center for Imaging Science, Samsung Medical
Center, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong,
Kangnam-Ku, Seoul 135-710, South Korea.
2 Present address: Department of Diagnostic Radiology, Tuen Mun Hospital, Tuen
Mun, New Territories, Hong Kong.

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Fig. 2 —47-year-old man after radiofrequency ablation for
hepatocellular carcinoma. Arterial phase follow-up CT scan at 7 months after
radiofrequency ablation shows extrazonal peripheral nodular type of local
tumor progression (arrows).
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Fig. 3B —52-year-old man after radiofrequency ablation for
hepatocellular carcinoma. Arterial phase follow-up CT scan obtained 1 month
after radiofrequency ablation shows intrazonal crescentic local tumor
progression (arrow).
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Fig. 4A —44-year-old man after radiofrequency ablation for hepatic
metastases from colon cancer. Portal phase follow-up CT scan obtained
immediately after radiofrequency ablation shows hypoenhancing ablation zone
without residual tumor. Arrow indicates ablation zone.
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Fig. 4B —44-year-old man after radiofrequency ablation for hepatic
metastases from colon cancer. Portal phase follow-up CT scan obtained 8 months
after radiofrequency ablation shows intrazonal gross enlargement type of local
tumor progression (arrow).
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Fig. 5 —72-year-old man after radiofrequency ablation for liver
metastases from colon cancer. Portal phase follow-up CT scan obtained 3 months
after radiofrequency ablation shows extrazonal crescentic type of local tumor
progression (arrow).
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Fig. 6A —64-year-old man with hepatocellular carcinoma; concordant
case with insufficient ablative margin. Arterial phase CT scan obtained before
radiofrequency ablation shows ovoid hyperattenuating mass in right lobe of
liver (arrow).
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Fig. 6B —64-year-old man with hepatocellular carcinoma; concordant
case with insufficient ablative margin. Arterial phase CT scan obtained
immediately after radiofrequency ablation shows nonenhancing ablation zone
covering index tumor. However, ablative margin over index tumor posteriorly
(arrow) is insufficient.
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Fig. 6C —64-year-old man with hepatocellular carcinoma; concordant
case with insufficient ablative margin. Arterial phase follow-up CT scan
obtained 4 months after radiofrequency ablation shows extrazonal peripheral
nodular type of local tumor progression at exact site of insufficient ablative
margin (arrow).
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Fig. 7 —64-year-old man with hepatocellular carcinoma after
radiofrequency ablation; disconcordant case with contiguous vessel but
concordant case with liver capsule. Arterial phase CT scan obtained 1 month
after radiofrequency ablation shows extrazonal peripheral nodular type of
local tumor progression (arrow) located at different site of
contiguous vessel but located at subcapsular region.
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Copyright © 2008 by the American Roentgen Ray Society.