ArticleUltrasonography (Seoul, Korea)2026
Prospective evaluation of the safety and efficacy of microwave ablation for hepatocellular carcinoma in Korean patients.
Article in Ultrasonography (Seoul, Korea), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study evaluated the 3-year safety and efficacy of microwave ablation (MWA) as an alternative to radiofrequency ablation in Korean patients with hepatocellular carcinoma (HCC).
methodsIn this prospective single-center study, 33 adults with a single HCC lesion (2-5 cm; Barcelona Clinic Liver Cancer stage A) were enrolled between December 2017 and May 2020. All underwent ultrasound-guided MWA using the NEUWAVE system. One patient did not complete post-treatment evaluation and two had protocol deviations, yielding a full analysis set of 30 patients and a safety analysis set of 33 patients. Study endpoints included technical success (TS), technique efficacy (TE), local tumor progression (LTP), overall survival (OS), and adverse events (AEs) over a 3-year follow-up period.
resultsAll 33 patients were included in the safety analysis, while 30 were included in the efficacy analysis. Most patients were male (83.3%), with a median age of 64 years and a mean tumor size of 2.5±0.6 cm. Median follow-up was 36.2 months. TS and TE were achieved in all cases. The 3-year cumulative LTP rate was 7.3%, and the 3-year OS rate was 90.0%. Minor AEs occurred in 54.5% of patients, most commonly post-ablation pain and fever. Two patients (6.1%) experienced major AEs, including pyrexia and duodenal thermal injury. No procedure- or device-related deaths occurred.
conclusionMWA appears to be a safe and effective treatment for early-stage HCC, demonstrating durable tumor control and a low incidence of major complications over 3 years.
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