Hepatocellular Carcinoma
Conditions
Brief summary
Evaluation the Treatment Outcome for RFA in Patients With BCLC Stage B HCC in Comparison With TACE
Detailed description
The investigators conduct this clinical trial to evaluate the treatment outcome of RFA in HCC patients with tumor smaller than 7cm and tumor number less than five ,in comparison with TACE treatment.The primary outcome is overall survival.The secondary outcome is objective response rate.
Interventions
We using Cool Tip system or RITA system to perform RFA
TACE treatment is a first line treatment for BCLC stage B HCC
Sponsors
Study design
Intervention model description
group 1 RFA alone group 2 TACE alone
Eligibility
Inclusion criteria
* age 18 to 75 years ; * HCC confirmed by pathological or clinical diagnosis according to the American Association for the Study of Liver Diseases criteria ; * solitary HCC less than 7cm in diameter or multiple HCC lesions less 5 * the absence of portal/hepatic vein invasion, lymph node involvement and extrahepatic metastases; * lesions visible on ultrasound with a safe path between the lesion and skin; * an Eastern Cooperative Oncology Group performance status of 0-1; * Child-Pugh class A or B cirrhosis. The
Exclusion criteria
: * received any other previous treatment for HCC; * severe coagulation disorders; * evidence of hepatic decompensation including hepatic encephalopathy, ascites as well as esophageal or gastric variceal bleeding; * presence of serious medical comorbidities, including serious dysfunction of the heart or kidney ; * currently had other malignancies in addition to HCC.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival | up to 60 months |
Secondary
| Measure | Time frame |
|---|---|
| objective response rate | up to 60 months |
Countries
China