Radiotherapy in Hepatocellular Carcinomas After Hepatectomy With Narrow Margin (<1 cm) or Portal Vein Thrombosis

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02309788

Acronym

RHCC

Enrollment

100

Registered

2014-12-05

Start date

2016-01-31

Completion date

Unknown

Last updated

2016-01-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HepatoCellular Carcinoma

Brief summary

Hepatocellular carcinoma (HCC) is one of ten leading cancer types worldwide and also in Asia, but the five-year relative survival rate is relatively quite low1-3. As a common complication of HCC, portal vein tumor thrombosis (PVTT) have been reported with an occurrence of 34% \ 50% in advanced HCC and it is now become an extremely pressing problem for hepatic surgeon. Nevertheless, the patients overall survival (OS) varies on their clinical features or liver function4. For HCC PVTT treatment, current options are surgical resection, embolization chemotherapy, radiation therapy, a variety of ablation therapy, biological and gene therapy,etc. Among them, the use of radiation therapy is getting more and more attention, and it is changing from the past palliative treatment to current curable treatment. From an oncologic point of view, a narrow margin \<1 cm is not safe and is often associated with higher rates of recurrence and shorter patient survival.On the other hand, it is also believed that most intrahepatic recurrences arise from multicentric carcinogenesis and are distant from the resection margin.To address this issue, the investigators are going to conduct a series of retrospective and prospective studies to investigate the effect of adjuvant RT for centrally located HCC after narrow margin (\<1 cm) hepatectomy on tumor recurrence.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* HCC with no preoperative RT * resectable lesion that could be completely removed, at the same time retaining a sufficient residual liver tissue to maintain adequate function * compensated cirrhosis or no cirrhosis; Child-Pugh A * ECOG Performance Status of 0 or 1. * Patients who had undergone transarterial chemoembolization (TACE) were eligible for enrollment in the study, provided this form of therapy ended at least 4 weeks before study entry

Exclusion criteria

* unresectable hepatocellular carcinoma patients * Hepatocellular carcinoma without portal vein tumor thrombus * Hepatectomy without narrow margin(more than 1cm) * presence of distant metastasis * palliative resection with tumor residual * non-HCC confirmed by postoperative pathology

Design outcomes

Primary

Measure	Time frame
overall survival	1year

Countries

China

Contacts

Primary ContactBai Tao, MD

25859373@qq.com+86 18507712632

Outcome results