Conversion, Hepatocellular Carcinoma Non-resectable
Conditions
Keywords
CyberKnife, unresectable hepatocelluar carcinoma, TACE, hepatectomy, prognosis
Brief summary
To compare the prognosis and adverse reactions of unresectable hepatocellular carcinoma receiving stereotactic radiotherapy combined with hepatic arterial chemoembolization and conversion hepatectomy
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Unresectable HCC patients were diagnosed by a surgeon and/or radiologist and oncologist according to the international guidelines for the management of HCC or by pathology * Patients who received SBRT plus TACE have tumor regression, and surgical experts assess that R0 resection could be achieved * CP-A or B classification; * Eastern Cooperative Oncology Group (ECOG) score 0-1; * Platelet count≥50 × 109/L, white blood count≥1.5 × 109/L; * ICG R15≤10%; * Normal effective liver volume \>30%; * patients infected with hepatitis B virus who are treated with adefovir or entecavir; patients infected with hepatitis C virus whose HCV DNA are negative.
Exclusion criteria
-the patients receive other treatments (such as targeted treatment, immune checkpoint inhibitors,etc) after CK-SBRT plus TACE.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival time | From date of randomization until the date of death from any cause, assessed up to 24 months. |
Secondary
| Measure | Time frame |
|---|---|
| Progression-free survival time | From date of randomization until the date of disease progression or date of death from any cause, whichever came first, assessed up to 24 months. |
| Radiation-induced liver injury rates | From the date of radiotherapy completion until the 4 months after therapy,up to 6 months. |
| Adverse reaction | From the date of radiotherapy completion until the 4 months after therapy,up to 6 months |