[Clinical value of CT-guided high frequency-induced thermotherapy as a treatment for intrahepatic cholangiocarcinoma].
OBJECTIVE
To evaluate the therapeutic effect of CT-guided high frequency-induced thermotherapy (HiTT) for intrahepatic cholangiocarcinoma.


METHODS
Seventeen patients of intrahepatic cholangiocarcinoma with 21 lesions underwent comprehensive treatment with HiTT as the principle approach. As to the patients with obstructive jaundice, percutaneous trans-hepatic cholangial drainage (PTCD) or bile duct endoprosthesis placement was performed first to improve the liver function, then HiTT was performed; and patients without obstructive jaundice underwent CT-guided HiTT directly, 1-2 weeks later, chemotherapy was given for 4 - 6 courses.


RESULTS
CT scan 1 week after HiTT showed a short-term achievement rate of 100% (17/17), and the single puncture in situ ablation rate was 76.1% (16/21). The average life span in the near future was 13.5 months. The adverse effects included topo-bleeding, pain after procedure, liver function damage, defervescence, etc. All the patients recovered after symptomatic treatment.


CONCLUSIONS
The clinical value of CT-guided HiTT for intrahepatic cholangiocarcinoma is obvious.
Fan
Wei-Jun
WJ
State Key Laboratory of Oncology in Southern China, Radiology Department, University, Guangzhou 510060, China. cjr.fanweijun@vip.163.com
Zhang
Liang
L
Gu
Yang-Kui
YK
Wang
Li-Gang
LG
Ouyang
Yu-Shu
YS
D000368:Aged; D001650:Bile Duct Neoplasms / Q000628:therapy*; D001653:Bile Ducts, Intrahepatic; D017115:Catheter Ablation / Q000379:methods; D018281:Cholangiocarcinoma / Q000628:therapy*; D003972:Diathermy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed