Purpose
Cryotherapy for liver cancer has recurrence rates about 12%-24%,
espcially the tumor diameter above 3 cm,
if the lesion with vessel or/and bile duct proximity,
the recurrence would be more higher .we combined Cryotherapy and Iodine-125 seeds implantation in treating liver cancer,
which would much decrease the recurrence and complication.
Methods and Materials
From May 2008 to March 2010,85 tumors underwent Cryotherapy and Iodine-125 seeds implantation in 43 patients (36 male and 7 female; age 41-72 years,
mean 52.6 years),
tumor size range 2 to 8cm diameter (mean 5 cm).
Single or multiple 17-mm cryoprobes were used for ablation of central zone as far as possible the whole of tumor.
Iodine-125 seeds were implanted along with the edge of the ablation region.
The radioactivity of Iodine-125 seed is 0.8~ 1.0mci .The follow-up was 3-19 months,
Curative effect was...
Results
Overall the 43 experiences performed successfully,
seroperitoneum was seen in 7 of the procedures,
which did not influence the treatment plan,
and after 3-7days the seroperitoneum was absorption absolutely.
The effective rate on tumor size of 1,
3 and 6 months after treatment was 60%(51/85),
68%(58/85) and 80%(68/85),
respectively.
The effective rate on tumor marker of 1,
3 and 6 months after treatment was 86%(37/43),
88%(38/43) and 93%(40/43),
respectively.
Recurrence of the targeted tumor of 1,
3 and 6 months after treatment was 0%,
5%(4/85)...
Conclusion
Percutaneous Cryoablation combined with Iodine-125 seeds implantation in the treatment of liver cancer is efficacious,
safe ,
and the recurrence is lower .