Embolic and Ablative Therapy for Hepatocellular Carcinoma.

Clin Liver Dis

Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, MI, USA. Electronic address:

Published: February 2025

AI Article Synopsis

  • Locoregional therapies (LRTs) for hepatocellular carcinoma include ablative methods like microwave and radiofrequency ablation, as well as embolic techniques such as transarterial chemoembolization and radioembolization.
  • These therapies aim to either cure, bridge, or downstage patients, but they often face challenges with high post-treatment recurrence rates.
  • Current research suggests that combining LRTs with systemic therapy could enhance disease control and improve outcomes for patients with liver cancer.

Article Abstract

Embolic and ablative locoregional therapies (LRTs) for hepatocellular carcinoma are widely used to cure, bridge, or downstage patients for more definitive therapies. Common ablative therapies include microwave ablation and radiofrequency ablation, while embolic options include transarterial chemoembolization and 90Y transarterial radioembolization. While these therapies can be highly effective for the appropriate stage of disease, LRTs can suffer from a high rate of posttreatment recurrences. Considerations for administration of specific therapies include disease burden and underlying liver function. Recent data on concomitant or adjuvant systemic therapy, with LRT, have the potential to improve disease control and improve outcomes in this high-risk patient population.

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http://dx.doi.org/10.1016/j.cld.2024.08.003DOI Listing

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