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Correspondence and Brief Communications
September 1, 2006

Ablative Therapy of Malignant Liver Neoplasm

Arch Surg. 2006;141(9):947. doi:10.1001/archsurg.141.9.947-b

The review article by Sutherland et al1 is a nice article for practicing hepatobiliary surgeons who are performing ablation therapy for malignant inoperable liver neoplasm. Currently, surgery is the only curative treatment for malignant liver neoplasm. Ablation therapy by various means is definitely acceptable palliative treatment for malignant liver neoplasm. The authors compared ablation therapy with various other methods of ablation, including surgery. I do not think that palliative ablation procedures can be compared with curative surgery. Again, the chemical ablation should not be compared with radiofrequency ablation (RFA) therapy, laser-induced thermotherapy, and microwave coagulation therapy.

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