Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experience

Abstract Purpose To summarize our single-center experience with percutaneous ultrasound (US)-guided radiofrequency ablation (RFA) for pediatric recurrent hepatocellular carcinoma (RHCC). Methods From September 2007 to September 2021, patients under 18 who underwent percutaneous US-guided RFA for RHC...

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Main Authors: Haiyi Long, Wenxin Wu, Luyao Zhou, Hui Shen, Xiaoyan Xie, Baoxian Liu
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Medical Imaging
Subjects:
Online Access:https://doi.org/10.1186/s12880-023-01159-3
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author Haiyi Long
Wenxin Wu
Luyao Zhou
Hui Shen
Xiaoyan Xie
Baoxian Liu
author_facet Haiyi Long
Wenxin Wu
Luyao Zhou
Hui Shen
Xiaoyan Xie
Baoxian Liu
author_sort Haiyi Long
collection DOAJ
description Abstract Purpose To summarize our single-center experience with percutaneous ultrasound (US)-guided radiofrequency ablation (RFA) for pediatric recurrent hepatocellular carcinoma (RHCC). Methods From September 2007 to September 2021, patients under 18 who underwent percutaneous US-guided RFA for RHCC were retrospectively enrolled in this study. Local effectiveness, complications, local tumor progression (LTP), progression free survival (PFS), and overall survival (OS) were evaluated. Results A total of 10 patients (9 male and 1 female; mean age, 11.7 ± 4 years ; age range, 6–17 years) with 15 intrahepatic RHCC lesions were enrolled in this study. Complete ablation (CA) was achieved in 14 out of 15 lesions (93.3%) after the first RFA. During the follow-up (mean, 63.1 ± 18 months; range, 5.3-123.3 months), LTP did not occur. Five patients died including three with tumor progression and one with liver failure. The accumulative one- and three-year PFS rates were 30% and 10%, respectively. The accumulative one- and three-year OS rates were 77.8% and 44.4%, respectively. Conclusions Our single-center experience suggests the safety and feasibility of percutaneous US-guided RFA for pediatric RHCC.
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spelling doaj.art-5fd25fb0a50c41dfb419e42762a8f6712023-12-10T12:36:03ZengBMCBMC Medical Imaging1471-23422023-12-012311810.1186/s12880-023-01159-3Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experienceHaiyi Long0Wenxin Wu1Luyao Zhou2Hui Shen3Xiaoyan Xie4Baoxian Liu5Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen UniversityDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen UniversityDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen UniversityDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen UniversityDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen UniversityDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen UniversityAbstract Purpose To summarize our single-center experience with percutaneous ultrasound (US)-guided radiofrequency ablation (RFA) for pediatric recurrent hepatocellular carcinoma (RHCC). Methods From September 2007 to September 2021, patients under 18 who underwent percutaneous US-guided RFA for RHCC were retrospectively enrolled in this study. Local effectiveness, complications, local tumor progression (LTP), progression free survival (PFS), and overall survival (OS) were evaluated. Results A total of 10 patients (9 male and 1 female; mean age, 11.7 ± 4 years ; age range, 6–17 years) with 15 intrahepatic RHCC lesions were enrolled in this study. Complete ablation (CA) was achieved in 14 out of 15 lesions (93.3%) after the first RFA. During the follow-up (mean, 63.1 ± 18 months; range, 5.3-123.3 months), LTP did not occur. Five patients died including three with tumor progression and one with liver failure. The accumulative one- and three-year PFS rates were 30% and 10%, respectively. The accumulative one- and three-year OS rates were 77.8% and 44.4%, respectively. Conclusions Our single-center experience suggests the safety and feasibility of percutaneous US-guided RFA for pediatric RHCC.https://doi.org/10.1186/s12880-023-01159-3Radiofrequency ablationRecurrent hepatocellular carcinomaChildrenSafetyLocal tumor progressionSurvival
spellingShingle Haiyi Long
Wenxin Wu
Luyao Zhou
Hui Shen
Xiaoyan Xie
Baoxian Liu
Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experience
BMC Medical Imaging
Radiofrequency ablation
Recurrent hepatocellular carcinoma
Children
Safety
Local tumor progression
Survival
title Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experience
title_full Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experience
title_fullStr Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experience
title_full_unstemmed Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experience
title_short Radiofrequency ablation for pediatric recurrent hepatocellular carcinoma: a single-center experience
title_sort radiofrequency ablation for pediatric recurrent hepatocellular carcinoma a single center experience
topic Radiofrequency ablation
Recurrent hepatocellular carcinoma
Children
Safety
Local tumor progression
Survival
url https://doi.org/10.1186/s12880-023-01159-3
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