This clinical trial aims to compare hepatectomy with Transarterial Chemoembolization (TACE) for Hepatic Cellular Cancer With Solitary Huge Tumor (≥5cm). All patients will be divided into two group.One group will receive hepatic resection, while an another equivalent group patients will be treated with Transarterial Chemoembolization.
Hepatocellular carcinoma (HCC) is the most common primary malignant tumor of the liver.For Barcelona Clinic Liver Cancer (BCLC) stage B patients,especially those with Solitary Huge Tumor (≥5cm) ,the better therapy between hepatic resection and transarterial chemoembolization remains controversial despite extensive studies。 From now on, we prospectively collected patients with solitary huge HCC who received hepatectomy or TACE. Of the 200 patients,100 patients were surgically treated and the others underwent TACE。After the treatment, patients received routine follow-up with physical examination, serum α-fetoprotein (AFP) level and ultrasonography at 3-month intervals for the first year and then every 6 months.The end of follow-up was determined as either the time of last follow-up (July 2019) or death. The overall survival,including 1, 2 and 3-year overall survival rates,will be analyse. All data are collected prospectively.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
100
The aim of this intervention is to reach curative resection.
The aim of this intervention is one of the palliative treatment.
Hepatic surgery center, Tong ji Hospital
Wuhan, Hubei, China
RECRUITING3-year overall survival
Overall survival rate will be evaluated at 3 years after treatment
Time frame: 3 years
1-year overall survival
Overall survival rate will be evaluated at 1 year after treatment
Time frame: 1 years
2-year overall survival
Overall survival rate will be evaluated at 2 years after treatment
Time frame: 2 years
Recurrence rates
any recurrence detected by CT, MRI and laboratory examination
Time frame: 3 years
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