PMID- 27747288 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2364-3722 (Print) IS - 2196-9736 (Electronic) IS - 2196-9736 (Linking) VI - 4 IP - 10 DP - 2016 Oct TI - Clinical outcomes of endoscopic ultrasound-guided ethanol injection for hepatocellular carcinoma in the caudate lobe. PG - E1111-E1115 AB - Background and study aims: Accurately puncturing hepatocellular carcinomas (HCC) that arise from the caudate lobe is generally considered to be technically difficult. We conducted a retrospective study to evaluate the feasibility and safety (the therapeutic outcomes and adverse events) of endoscopic ultrasound (EUS)-guided ethanol injection as a novel treatment for HCC in the caudate lobe. Patients and methods: Twelve patients with early-stage HCC of the caudate lobe that were treated with EUS-guided ethanol injection at two tertiary referral centers were reviewed retrospectively. To evaluate the therapeutic effect of the treatment, a local control curve and an overall survival curve were constructed using the Kaplan-Meier method. Results: The mean follow-up duration was 31.0 months. The 1-year local control rate was 80.2 %, and recurrent lesions developed in 2 cases (after 3 and 9 months, respectively). The overall survival rate was 91.7 %, 75.0 %, and 53.3 % at 1, 2, and 3 years, respectively. Concerning procedure-related adverse events (AEs), 2 patients suffered episodes of fever lasting a few days; however, no serious AEs occurred. Conclusions: EUS-guided ethanol injection could be a useful treatment for early-stage HCC in the caudate lobe because of its simplicity and reduced invasiveness. FAU - Nakaji, So AU - Nakaji S AD - Department of Gastroenterology, Kameda Medical Center. FAU - Hirata, Nobuto AU - Hirata N AD - Department of Gastroenterology, Kameda Medical Center. FAU - Mikata, Rintaro AU - Mikata R AD - Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University. FAU - Kobayashi, Masayoshi AU - Kobayashi M AD - Department of Gastroenterology, Kameda Medical Center. FAU - Shiratori, Toshiyasu AU - Shiratori T AD - Department of Gastroenterology, Kameda Medical Center. FAU - Ogasawara, Sadahisa AU - Ogasawara S AD - Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University. FAU - Ooka, Yoshihiko AU - Ooka Y AD - Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University. FAU - Tsuyuguchi, Toshio AU - Tsuyuguchi T AD - Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University. FAU - Yamaguchi, Taketo AU - Yamaguchi T AD - Department of Gastroenterology, Chiba Cancer Center. FAU - Yokosuka, Osamu AU - Yokosuka O AD - Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University. LA - eng PT - Journal Article DEP - 20160930 PL - Germany TA - Endosc Int Open JT - Endoscopy international open JID - 101639919 PMC - PMC5063731 COIS- Competing interests: None EDAT- 2016/10/18 06:00 MHDA- 2016/10/18 06:01 PMCR- 2016/10/01 CRDT- 2016/10/18 06:00 PHST- 2016/04/06 00:00 [received] PHST- 2016/08/19 00:00 [accepted] PHST- 2016/10/18 06:00 [entrez] PHST- 2016/10/18 06:00 [pubmed] PHST- 2016/10/18 06:01 [medline] PHST- 2016/10/01 00:00 [pmc-release] AID - 10.1055/s-0042-116146 [doi] PST - ppublish SO - Endosc Int Open. 2016 Oct;4(10):E1111-E1115. doi: 10.1055/s-0042-116146. Epub 2016 Sep 30.