Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma

Said, Ebada; Mohamed, Hisham S; Saafan, Ahmed; Mahmoud, Mahmoud Salah; El- Shewi, Mohammed El-Sayed

doi:10.21608/bmfj.2024.305499.2139

Efficacy of Percutaneous Microwave Ablation in Exophytic Hepatocellular carcinoma

Document Type : Original Article

Authors

¹ Professor of Hepatology, Gastroenterology and Infectious Diseases Faculty of Medicine -Benha University

² Gastroenterology &amp;amp; Hepatology department, Faculty of Medicine-Benha University

³ Consultant of Intervention Radiology Kafr El Sheikh Liver Research center

⁴ Diploma in Hepatology, Gastroenterology and Infectious Diseases Benha University

⁵ Hepatology, Gastroenterology and Infectious diseases Department, Faculty of Medicine, Benha University, Benha, Egypt.

10.21608/bmfj.2024.305499.2139

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.

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