Table 2.
Characteristics of marked metastases
No. of marked metastases (n = 76) | |
---|---|
Size of metastases (mm) | |
At diagnosis* | 13·6(5·6) |
At specific treatment† | 7·6(7·2) |
Marking techniques | |
Total no. of fiducial markers | 89 |
Local anaesthesia (no. of patients) | 24 |
Guiding technique | |
US | |
No. of CRLM | 42 |
No. of fiducial markers | 50 |
CEUS | |
No. of CRLM | 13 |
No. of fiducial markers | 15 |
CT | |
No. of CRLM | 13 |
No. of fiducial markers | 16 |
US–MRI | |
No. of CRLM | 3 |
No. of fiducial markers | 3 |
US–CT | |
No. of CRLM | 5 |
No. of fiducial markers | 5 |
Complications‡ | 4 (4) |
Treatment of marked metastases | |
Thermoablation (21 patients) | 43 (57) |
RFA | 32 |
MWA | 10 |
Cryotherapy | 1 |
Surgery (15 patients) | 22 (29) |
Metastasectomy | 17 |
Segmentectomy | 2 |
Major hepatectomy | 3 |
Size at diagnosis (mm)* | 15·8(6·9) |
Size at surgery (mm)* | 8·9(8·3) |
Histological size (mm)* | 11·9(7·1) |
Pathological response (% viable cells)* | 32(25) |
Radiotherapy (1 patient) | 1 (1) |
No specific treatment (progression) (6 patients) | 10 (13) |
Values in parentheses are percentages unless indicated otherwise; values are
mean(s.d.) and
mean(s.d.) based on 37 patients (6 patients with 14 marked metastases were excluded because of progression).
Total number of complications for total number of fiducial markers placed. CRLM, colorectal liver metastases; US, ultrasonography; CEUS, contrast‐enhanced ultrasonography; RFA, radiofrequency ablation; MWA, microwave ablation.