Image-Guided Brachyablation (IGBA) en hepatocarcinoma. Descripción de la técnica y reporte del primer caso en Chile.

Resumen

Eighty percent of hepatocarcinomas are inoperable at the moment of diagnosis. Liver transplantation is the treatment of choice in these cases, but local therapies are another alternative. Among these, Image-Guided BrachyAblation is a safe choice. We report a 76-year-old male with a hepatocarcinoma, who was considered inoperable due to the high surgical risk of the patient. A local treatment with Image-Guided BrachyAblation was decided. A brachytherapy needle was placed in the tumor under computed tomography guidance and a 15 Gy single dose was delivered from an 192iridium source. The patient had no immediate complications and at one month of follow up he continued without incidents.