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poor recruitment
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Local ablative treatment of Hepatocellular Carcinoma is performed primary on patients not eligible for liver transplant or liver resection. At our Hospital two different methods are used: Microwave ablation, where the tumor cells are heated up and killed, and Irreversible electroporation, where the tumor cells are exposed to an electrical field and nano-pores are formed in the cell membranes and the cells go into apoptosis (programed cell death).
Previous studies have shown effects on the immune system after ablative therapies.
The purpose of this study is to compare the immunological response after the wo different methods of killing the tumor cells.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Microwave ablation | Other | 20 patients will be treated with microwave ablation |
|
| Irreversible electroporation | Other | 20 patients will be treated with irreversible electroporation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Microwave ablation | Device |
| ||
| Irreversible electroporation |
| Measure | Description | Time Frame |
|---|---|---|
| Immunological response | Change in immunological response | Change from baseline (morning of the procedure) measured at post operative day 1,7, 28 and 90 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with complete radiological response at follow up 3, 6, 9 and 12 months. | Compare the effect of the two different ablative methods | Follow-up every three months for one year with CT scan. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jacob Freedman, MD, PhD | Karolinska Instituet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Surgery and Urology, Danderyd Hospital | Stockholm | 18288 | Sweden |
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D018274 | Electroporation |
| ID | Term |
|---|---|
| D003584 | Cytological Techniques |
| D019411 | Clinical Laboratory Techniques |
| D008919 | Investigative Techniques |
| D055664 | Electrochemical Techniques |
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| Device |
|
|
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |