Nutrition and nutrients: primary liver tumors of 3 cm. or smaller injected with acetic acid gives significant longer 1 and 2 year survival than injected with ethanol (alcohol) randomised study shows patients under 60 and al leverkanker published in 1998. Article update 16 October 2011

May 23, 2005: source: Hepatology. 1998 Jan; 27 (1): 67-72.

Primary liver tumors of 3 cm. or smaller injected with acetic acid gives significant longer 1 and 2 year survival than injected with ethanol (alcohol) randomised study shows patients under 60 and al leverkanker published in 1998. 8% of the 38 tumors injected with acetic acid and 37% of the 35 tumors injected with alcohol showed a local relapse (P< .001)="" gedurende="" een="" follow-up="" periode="" van="" 29="" +/-="" 8="" months="" en="" 23="" +/-="" 10="" months,="" respectievelijk.="" de="" 1-="" en="" 2-jaars="" overleving="" was="" 100%="" en="" 92%="" bij="" azijnzuur="" injecties="" en="" 83%="" en="" 63%="" na="" ethanol="" injecties="" (p=".0017).Dit" is="" een="" significant="" positief="" verschil="" voor="" de="" azijnzuurgroep="" en="" de="" onderzoekers="" stellen="" dan="" ook="" dat="" azijnzuur="" injecties="" superieur="" zijn="" aan="" ethanol="" injecties="" voor="" behandeling="" van="" kleinere="">

Prospective randomized controlled trial comparing percutaneous acetic acid injection and percutaneous ethanol injection for hepatocellular carcinoma, small.

K H, Ito S, Ohnishi, K. Yoshioka Fujiwara
Third Department of Medicine, Saitama Medical School, Japan.

To assess whether ultrasound guided percutaneous acetic acid injection is superior to percutaneous ethanol injection in the treatment of hepatocellular carcinoma (HCC), 60 small patients with one to four HCCs smaller than 3 cm were entered onto a randomized controlled trial. Thirty-one and 29 patients, respectively, were treated by percutaneous acetic acid injection using 50% acetic acid or by percutaneous ethanol injection using absolute ethanol. There were no significant differences in age, sex ratio, Child-Pugh class, size, or number of tumors or tumors between the two groups. When there was no evidence or viable HCC from biopsy, plain and helical dynamic computed tomography angiography, the treatment was considered, or successful and was discontinued. All original tumors were treated successfully by either therapy. However, 8% or 38 tumors treated with percutaneous acetic acid injection and 37% treated with percutaneous ethanol injection or 35 tumors developed a local recurrence (P< .001)="" during="" the="" follow-up="" periods="" of="" 29="" +/-="" 8="" months="" and="" 23="" +/-="" 10="" months,="" respectively.="" the="" 1-="" and="" 2-year="" survival="" rates="" were="" 100%="" and="" 92%="" in="" percutaneous="" acetic="" acid="" injection="" and="" 83%="" and="" 63%="" in="" percutaneous="" ethanol="" injection="" (p=".0017)." a="" multivariate="" analysis="" of="" prognostic="" factors="" revealed="" that="" treatment="" was="" an="" independent="" predictor="" of="" survival.="" the="" risk="" ratio="" of="" percutaneous="" acetic="" acid="" injection="" versus="" percutaneous="" ethanol="" injection="" was="" 0.120="" (range,="" 0.027-0.528;="" p=".0050)." in="" conclusion,="" percutaneous="" acetic="" acid="" injection="" is="" superior="" to="" percutaneous="" ethanol="" injection="" in="" the="" treatment="" of="" small="">

Publication Types:
Clinical Trial
Duplicate Publication
Randomized Controlled Trial

PMID: 9425919 [PubMed-indexed for MEDLINE]