Transcatheter arterial chemoembolization of hepatocellular carcinoma
Chung, J.W.
Hepato- Gastroenterology 45(Suppl): 1236-1241
1998
ISSN/ISBN: 0172-6390 PMID: 9730381 Document Number: 7953
In small HCCs, segmental TOCE shows comparable results to surgical resection. Postoperative recurrent HCCs and HCCs in liver transplantation candidates are another good indications of TOCE. Advances in catheter technology and accumulation of knowledge about the procedure and tumor circulation may improve the effectiveness of the treatment and reduce procedure-related complications. In the early-stage of HCC, combined treatment of transcatheter and percutaneous approach is recommended to increase therapeutic effect. In the advanced stage of HCC, the treatment protocol of TOCE should be individualized according to hepatic function, the status of the portal vein, and the extent of the tumor. With this revised protocol of TOCE, the efficacy of TOCE should be reevaluated by well-designed randomized prospective study.
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