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Related Experiment Videos

Percutaneous ethanol injection: single session treatment.

F Meloni1, S Lazzaroni, T Livraghi

  • 1Department of Radiology, Ospedale Civile di Vimercate, Via Cesare Battisti 23, I-20059 Vimercate, Milan, Italy. lalivra@tin.it

European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology
|May 23, 2001
PubMed
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Single session percutaneous ethanol injection (PEI) effectively treats hepatocellular carcinoma (HCC), especially larger or multiple tumors. While comparable to traditional PEI for necrosis, it offers faster treatment and broader applicability.

Area of Science:

  • Hepatobiliary oncology
  • Interventional radiology
  • Minimally invasive cancer therapy

Background:

  • Percutaneous ethanol injection (PEI) is a standard treatment for hepatocellular carcinoma (HCC) in cirrhotic patients.
  • Traditional PEI offers good efficacy, safety, and cost-effectiveness compared to surgical resection.
  • A 'single session' PEI technique was developed for larger HCC under general anesthesia.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of single session PEI for treating large or multiple HCC.
  • To compare the effectiveness of single session PEI in different HCC types (encapsulated, infiltrating, advanced).

Main Methods:

  • A study involving 108 patients with HCC greater than 5 cm in diameter.
  • Patients were divided into three groups: Group A (single, encapsulated lesions 5-8.5 cm), Group B (single, infiltrating lesions 5-10 cm or multiple HCC), and Group C (advanced disease).

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  • Treatment involved single session PEI under general anesthesia.
  • Main Results:

    • Complete necrosis was achieved in 58.3% of encapsulated lesions (Group A).
    • Complete necrosis was only achieved in encapsulated lesions in Group B; it was not obtained in infiltrating lesions of Groups B and C.
    • Three-year survival rates were 57% for encapsulated HCC, 42% for infiltrating/multiple HCC, and 0% for advanced HCC. Major complications included hemorrhage and hepatic decompensation.

    Conclusions:

    • Single session PEI demonstrates comparable efficacy to traditional PEI in inducing liver tumor necrosis.
    • This technique is advantageous for treating larger and multiple HCC lesions with reduced treatment time.
    • Single session PEI represents a more aggressive therapeutic approach than traditional PEI.