Said, E., Mohamed, H., Saafan, A., Mahmoud, M., El- Shewi, M. (2025). Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma. Benha Medical Journal, 42(1), 136-142. doi: 10.21608/bmfj.2024.305499.2139
Ebada Said; Hisham S Mohamed; Ahmed Saafan; Mahmoud Salah Mahmoud; Mohammed El-Sayed El- Shewi. "Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma". Benha Medical Journal, 42, 1, 2025, 136-142. doi: 10.21608/bmfj.2024.305499.2139
Said, E., Mohamed, H., Saafan, A., Mahmoud, M., El- Shewi, M. (2025). 'Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma', Benha Medical Journal, 42(1), pp. 136-142. doi: 10.21608/bmfj.2024.305499.2139
Said, E., Mohamed, H., Saafan, A., Mahmoud, M., El- Shewi, M. Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma. Benha Medical Journal, 2025; 42(1): 136-142. doi: 10.21608/bmfj.2024.305499.2139
Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma
1Professor of Hepatology, Gastroenterology and Infectious Diseases Faculty of Medicine -Benha University
2Gastroenterology & Hepatology department, Faculty of Medicine-Benha University
3Consultant of Intervention Radiology Kafr El Sheikh Liver Research center
4Diploma in Hepatology, Gastroenterology and Infectious Diseases
Benha University
5Hepatology, Gastroenterology and Infectious diseases Department, Faculty of Medicine, Benha University, Benha, Egypt.
Abstract
Introduction: Exophytic hepatocellular carcinoma (HCC) need a multidisciplinary approach management tailored to individual patient for a better outcome. Microwave ablation is one of the commonly used ablative modality to treat HCCs. Objective: The aim of this study was to evaluate the efficacy of percutaneous microwave ablation (MWA) for exophytic HCC. Methods: A prospective study was conducted on 40 cases with exophytic HCC. Microwave ablation was performed percutaneously for all patients with followed up. Results: 80 % of cases showed complete ablation while 20 % of cases have incomplete ablation. Only 18.8 % of cases showed recurrence while no recurrence in 81.2 % of cases. The complications of MWA were reported by 15 % of cases and were minor complications. There was significant decrease in alpha fetoprotein (AFP) after MWA. Conclusion: This study showed that microwave ablation can be safely performed for exophytic HCCs with effective and satisfactory outcomes. Results: 80 % of cases showed complete ablation while 20 % of cases have incomplete ablation. Only 18.8 % of cases showed recurrence while no recurrence in 81.2 % of cases. The complications of MWA were reported by 15 % of cases and were minor complications. There was significant decrease in alpha fetoprotein (AFP) after MWA. Conclusion: This study showed that microwave ablation can be safely performed for exophytic HCCs with effective and satisfactory outcomes.