Document Detail


Locoregional therapy and recurrence of hepatocellular carcinoma after liver transplant.
MedLine Citation:
PMID:  24635819     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: Locoregional therapy may decrease the tumor stage and enable liver transplant in patients who have hepatocellular cancer. The purpose of the present study was to assess the relation between locoregional therapy and recurrence of hepatocellular carcinoma after transplant.
MATERIALS AND METHODS: In 50 patients who had liver transplant for treatment of end-stage liver disease from hepatocellular carcinoma and cirrhosis, outcomes were evaluated for associations with locoregional therapy before transplant and Milan criteria.
RESULTS: Most patients had locoregional therapy before transplant (31 patients [62%]: transarterial catheter radiofrequency ablation alone, 16 patients; chemoembolization alone, 10 patients; both transarterial catheter radiofrequency ablation and chemoembolization, 5 patients). Follow-up at median 90 months after transplant showed that 9 patients (18%) had recurrence at median 45 months (range, 120 ± 12 mo) (recurrence: locoregional therapy, 5 of 31 patients [16%]; no locoregional therapy, 4 of 19 patients [21%]; not significant). Locoregional therapy was associated with a significantly lower frequency of recurrence in patients who were outside the Milan criteria.
CONCLUSIONS: In patients who have liver transplant for treatment of hepatocellular carcinoma, preoperative locoregional therapy may decrease recurrence in patients who are outside the Milan criteria.
Authors:
Mahir Kırnap; Fatih Boyvat; Aydıncan Akdur; Feza Karakayalı; Gülnaz Arslan; Gökhan Moray; Mehmet Haberal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation     Volume:  12 Suppl 1     ISSN:  2146-8427     ISO Abbreviation:  Exp Clin Transplant     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-03-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101207333     Medline TA:  Exp Clin Transplant     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  166-9     Citation Subset:  IM    
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