[Local ablation of malignant lesions of the liver - potential applications and limitations of the different methods].
Malignant lesions of the liver are among the most frequent and difficult problems in clinical practice. Liver tumors can be classified as primary (hepatocellular carcinoma HCC, cholangiocarcinoma CC) and secondary liver lesions (metastasis). The therapeutic principle of resecting liver tumours, applies to both types of liver lesions. Unfortunately many patients with primary and secondary liver lesions are inoperable because of technical difficulties or comorbidity. This stimulated the development of percutaneous ablation methods. These procedures allow to destroy tumors percutaneously with alcohol, acetic acid, radiofrequency, microwaves or laser. Potential applications and limitations of the methods are discussed.
Medizinische Universitätsklinik Freiburg. zuber@med1.ukl.uni-freiburg.de
I
I
Zuber-Jerger
M
M
Geissler
H C
HC
Spangenberg
L
L
Mohr
F
F
Weizsäcker
H E
HE
Blum
D019342:Acetic Acid / Q000008:administration & dosage; D001650:Bile Duct Neoplasms / Q000601:surgery* / Q000628:therapy; D001653:Bile Ducts, Intrahepatic; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D017115:Catheter Ablation; D018281:Cholangiocarcinoma / Q000601:surgery* / Q000628:therapy; D002986:Clinical Trials as Topic; D015179:Colorectal Neoplasms; D000431:Ethanol / Q000008:administration & dosage; D006498:Hepatectomy; D006801:Humans; D006979:Hyperthermia, Induced; D015552:Injections, Intralesional; D017075:Laser Coagulation; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D008872:Microwaves; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000431:Ethanol; D019342:Acetic Acid