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Comparison of Percutaneous and Surgical Approaches for Radiofrequency Ablation of Small and Medium Hepatocellular Carcinoma—Invited Critique
Michael E. deVera, MD;
James W. Marsh, MD;
T. Clark Gamblin, MD
Arch Surg. 2007;142(12):1143.
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Khan et al are to be commended for their results using RFA, either percutaneously or surgically, for the treatment of small ( 3 cm) and medium (3.1-5 cm) HCC. Their local ablation rate of 92% to 95% using either approach is a testimony to their experience with this modality. They demonstrate that RFA using either approach is equally effective for small lesions, in line with the experience of other groups.1-2 However, notwithstanding their improved results using a surgical approach, it remains to be seen whether RFA will be as effective for medium tumors. The treatment of HCC requires a multidisciplinary team, such as the Khan et al group, that can provide multimodal forms of therapy, including liver transplantation, an option that, although limited in availability, offers the best chance for a cure in patients with early-stage HCC. Despite . . . [Full Text of this Article]
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RELATED ARTICLE
Comparison of Percutaneous and Surgical Approaches for Radiofrequency Ablation of Small and Medium Hepatocellular Carcinoma
Muhammad Rizwan Khan, Ronnie T. P. Poon, Kelvin K. Ng, Albert C. Chan, Jimmy Yuen, Helen Tung, Jason Tsang, and Sheung Tat Fan
Arch Surg. 2007;142(12):1136-1143.
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