Transarterial Chemoembolization Monotherapy Versus Combined Transarterial Chemoembolization–Microwave Ablation Therapy for Hepatocellular Carcinoma Tumors ≤5 cm: A Propensity Analysis at a Single Center

2017 ◽  
Vol 40 (11) ◽  
pp. 1748-1755 ◽  
Author(s):  
Qi-Feng Chen ◽  
Zhen-Yu Jia ◽  
Zheng-Qiang Yang ◽  
Wen-Long Fan ◽  
Hai-Bin Shi
2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Zhentian Xu ◽  
Haiyang Xie ◽  
Lin Zhou ◽  
Xinhua Chen ◽  
Shusen Zheng

Hepatocellular carcinoma (HCC) is the most common primary cancer of the liver. Hepatectomy and liver transplantation (LT) are regarded as the radical treatment, but great majority of patients are already in advanced stage on the first diagnosis and lose the surgery opportunity. Multifarious image-guided interventional therapies, termed as locoregional ablations, are recommended by various HCC guidelines for the clinical practice. Transarterial chemoembolization (TACE) is firstly recommended for intermediate-stage (Barcelona Clinic Liver Cancer (BCLC) B class) HCC but has lower necrosis rates. Radiofrequency ablation (RFA) is effective in treating HCCs smaller than 3 cm in size. Microwave ablation (MWA) can ablate larger tumor within a shorter time. Combination of TACE with RFA or MWA is effective and promising in treating larger HCC lesions but needs more clinical data to confirm its long-term outcome. The combination of TACE and RFA or MWA against hepatocellular carcinoma needs more clinical data for a better strategy. The characters and advantages of TACE, RFA, MWA, and TACE combined with RFA or MWA are reviewed to provide physician a better background on decision.


Radiology ◽  
2008 ◽  
Vol 249 (1) ◽  
pp. 346-354 ◽  
Author(s):  
Manon Buijs ◽  
Josephina A. Vossen ◽  
Constantine Frangakis ◽  
Kelvin Hong ◽  
Christos S. Georgiades ◽  
...  

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