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Long-term Outcomes of Transcatheter Arterial Chemoembolization Combined With Radiofrequency Ablation as an Initial Treatment for Early-Stage Hepatocellular Carcinoma
Author(s) -
Yaojun Zhang,
Min Shan Chen,
Yong Chen,
Wan Yee Lau,
Zhenwei Peng
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2021.26992
Subject(s) - medicine , radiofrequency ablation , hepatocellular carcinoma , transcatheter arterial chemoembolization , hazard ratio , gastroenterology , stage (stratigraphy) , randomized controlled trial , cohort , surgery , ablation , confidence interval , paleontology , biology
Key Points Question Is transcatheter arterial chemoembolization combined with radiofrequency ablation associated with better long-term survival outcomes than radiofrequency ablation alone among patients with early hepatocellular carcinoma? Findings In this cohort study of 189 patients with early hepatocellular carcinoma, patients treated with transcatheter arterial chemoembolization and radiofrequency ablation experienced better survival outcomes than those who received radiofrequency ablation alone. Meaning These results suggest that transcatheter arterial chemoembolization with radiofrequency ablation may be a better first-line treatment than radiofrequency ablation alone for patients with early hepatocellular carcinoma.

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