2016
DOI: 10.1016/j.jvir.2016.02.014
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Combination Therapies in the Management of Large (≥ 5 cm) Hepatocellular Carcinoma: Microwave Ablation Immediately Followed by Transarterial Chemoembolization

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Cited by 25 publications
(21 citation statements)
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“…All patients tolerated the procedures well; no procedure‐related deaths occurred, and no patients requested to immediately stop treatment during these procedures. Complications of MWA were mild to moderate and easy to handle, as previous studies reported . Post‐ablation pain (grade ≥2) was noted in the treatment of six (54.5%) tumors, and the number of patients experiencing fever, emesis, and nerve injury were five (45.5%), two (18.2%), and one (9.0%), respectively.…”
Section: Discussionsupporting
confidence: 51%
See 1 more Smart Citation
“…All patients tolerated the procedures well; no procedure‐related deaths occurred, and no patients requested to immediately stop treatment during these procedures. Complications of MWA were mild to moderate and easy to handle, as previous studies reported . Post‐ablation pain (grade ≥2) was noted in the treatment of six (54.5%) tumors, and the number of patients experiencing fever, emesis, and nerve injury were five (45.5%), two (18.2%), and one (9.0%), respectively.…”
Section: Discussionsupporting
confidence: 51%
“…In general, thermal ablation has been adapted for application in lower‐volume tumors . Increasingly, studies have demonstrated the efficacy of MWA in larger tumors . In our opinion, when MWA was performed in patients with rRPLs, boundary residue was often inevitable due to tumor size and the close proximity of vital organs.…”
Section: Discussionmentioning
confidence: 99%
“…However, 5-year disease-free survival (DFS) associated with these treatments is only about 37% [ 3 , 4 ]. Guidelines recommend transarterial chemoembolization (TACE) for intermediate or advanced HCC [ 1 , 2 ], but progression-free survival (PFS) is also unsatisfactory [ 5 , 6 ]: even after more aggressive hepatic resection, the 5-year recurrence rate can be as high as 74% [ 7 , 8 ]. These data indicate that even after curative surgery, patients with HCC have poor prognosis, highlighting the need for effective adjuvant therapies that improve patient outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…La 1) Esistono evidenze che i trattamenti locoregionali combinati (TACE + ablazione percutanea) aumentino la risposta tumorale alla terapia, ampliando il volume di necrosi tumorale ottenibile (284)(285)(286)(287)(288)(289)(290). Secondo una recente revisione sistematica della letteratura con meta-analisi (290) che ha incluso 7 studi randomizzati, la combinazione di TACE e ablazione percutanea appare più efficacedell'ablazione isolata sia in termini di tasso di recidiva sia di sopravvivenza.…”
Section: Affermazioni Conclusive Multisocietarie(radioembolizzazione)unclassified