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Erschienen in: Digestive Diseases and Sciences 4/2020

17.07.2019 | Original Article

Long-Term Outcomes of Transarterial Chemoembolization Combined with Radiofrequency Ablation Versus Transarterial Chemoembolization Alone for Recurrent Hepatocellular Carcinoma After Surgical Resection

verfasst von: Qingfeng Song, Weizheng Ren, Liwei Fan, Meiqi Zhao, Lisha Mao, Shichai Jiang, Chang Zhao, Ying Cui

Erschienen in: Digestive Diseases and Sciences | Ausgabe 4/2020

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Abstract

Background

There is lack of data for identifying optimal local therapy for the management of recurrent hepatocellular carcinoma (HCC) after hepatic resection.

Aims

A retrospective study was performed to compare the effectiveness of transarterial chemoembolization (TACE) plus radiofrequency ablation (RFA) with that of TACE alone for recurrent HCC.

Methods

From 2007 to 2013, patients with recurrent HCC ≤ 5 cm were treated with either TACE plus RFA (n = 96) or TACE (n = 63). Inverse probability of treatment weighting was used to make allowances for imbalances in treatment assignment. The disease-free survival (DFS) and overall survival (OS) were retrospectively analyzed.

Results

The TACE group had lower pretreatment Child–Pugh class (P = 0.025) and shorter pretreatment interval of recurrence (P = 0.028). The 1-, 3-, and 5-year DFS rates for the TACE-RFA group were 55.1%, 22.5%, and 9.7%, respectively, and 41.1%, 9.9%, and 4.9%, respectively, for the TACE group. The OS rates at 1, 3, and 5 years were 82.3%, 42.7%, and 16.5%, respectively, in the TACE-RFA group, and 75.9%, 30.7%, and 11.3%, respectively, in the TACE group. Cirrhosis was significantly associated with disease progression (hazard ratio [HR] 1.53; 95% CI 1.09–2.14; P = 0.014).

Conclusions

In patients with recurrent HCC ≤ 5 cm, TACE-RFA shows better DFS than TACE alone as a first-line local therapy.
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Metadaten
Titel
Long-Term Outcomes of Transarterial Chemoembolization Combined with Radiofrequency Ablation Versus Transarterial Chemoembolization Alone for Recurrent Hepatocellular Carcinoma After Surgical Resection
verfasst von
Qingfeng Song
Weizheng Ren
Liwei Fan
Meiqi Zhao
Lisha Mao
Shichai Jiang
Chang Zhao
Ying Cui
Publikationsdatum
17.07.2019
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 4/2020
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-019-05733-0

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