scholarly journals Sorafenib after Arterial Chemoembolization in Child-Pugh A and B Cirrhotic Patients with Intermediate Hepatocellular Carcinoma: A Retrospective Analysis

2015 ◽  
Vol 06 (03) ◽  
pp. 286-292 ◽  
Author(s):  
Fernando Gomes Romeiro ◽  
Luciana Yumi Odani Sigahi ◽  
Matheus Alvarez ◽  
Fabio da Silva Yamashiro ◽  
Fábio Cardoso de Carvalho ◽  
...  
2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Antoine Bouchard-Fortier ◽  
Réal Lapointe ◽  
Pierre Perreault ◽  
Louis Bouchard ◽  
Gilles Pomier-Layrargues

Background. Transcatheter arterial lipiodol chemoembolization (TACE) can be used in cirrhotic patients with hepatocellular carcinoma to avoid tumor progression before transplantation.Objective. To evaluate the efficacy and safety of TACE used as a bridge to liver transplantation.Methods. TACE was performed in 30 cirrhotic patients with hepatocellular carcinoma. Milan criteria were used to select patients for transplant. Patients had a good or moderately impaired liver function, no arterioportal fistulae, and a good portal perfusion.Results. 48 TACE were performed in 30 patients. Before transplantation, 4 patients were dropped off the list due to tumor extension or liver failure. Complete necrosis of the tumor was observed in 11 patients and partial necrosis in 15 patients. After transplantation, 6 patients died and tumor recurrence was observed in 5 patients with a tumor beyond Milan criteria or no response to TACE.Conclusion. TACE is useful as a bridge to liver transplantation in a selected group of cirrhotic patients with hepatocellular carcinoma. A combined therapeutic approach before surgery might improve the prognosis in these patients.


1991 ◽  
Vol 13 ◽  
pp. S146
Author(s):  
L. Mondazzi ◽  
R. Bottelli ◽  
G. Maggi ◽  
F. Cernigliaro ◽  
G. Brambilla ◽  
...  

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