Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?

Hepatocellular carcinoma (HCC) is the most common primary liver malignancy. It is principally associated with liver cirrhosis and chronic liver disease. The major risk factors for the development of HCC include viral infections (HBV, HCV), alcoholic liver disease (ALD,) and non-alcoholic fatty liver...

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Main Authors: Evgenia Kotsifa, Chrysovalantis Vergadis, Michael Vailas, Nikolaos Machairas, Stylianos Kykalos, Christos Damaskos, Nikolaos Garmpis, Georgios D. Lianos, Dimitrios Schizas
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/3/436
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author Evgenia Kotsifa
Chrysovalantis Vergadis
Michael Vailas
Nikolaos Machairas
Stylianos Kykalos
Christos Damaskos
Nikolaos Garmpis
Georgios D. Lianos
Dimitrios Schizas
author_facet Evgenia Kotsifa
Chrysovalantis Vergadis
Michael Vailas
Nikolaos Machairas
Stylianos Kykalos
Christos Damaskos
Nikolaos Garmpis
Georgios D. Lianos
Dimitrios Schizas
author_sort Evgenia Kotsifa
collection DOAJ
description Hepatocellular carcinoma (HCC) is the most common primary liver malignancy. It is principally associated with liver cirrhosis and chronic liver disease. The major risk factors for the development of HCC include viral infections (HBV, HCV), alcoholic liver disease (ALD,) and non-alcoholic fatty liver disease (NAFLD). The optimal treatment choice is dictated by multiple variables such as tumor burden, liver function, and patient’s health status. Surgical resection, transplantation, ablation, transarterial chemoembolization (TACE), and systemic therapy are potentially useful treatment strategies. TACE is considered the first-line treatment for patients with intermediate stage HCC. The purpose of this review was to assess the indications, the optimal treatment schedule, the technical factors associated with TACE, and the overall application of TACE as a personalized treatment for HCC.
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spelling doaj.art-ce1f549d321d441783ae9336805736562023-11-30T21:08:27ZengMDPI AGJournal of Personalized Medicine2075-44262022-03-0112343610.3390/jpm12030436Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?Evgenia Kotsifa0Chrysovalantis Vergadis1Michael Vailas2Nikolaos Machairas3Stylianos Kykalos4Christos Damaskos5Nikolaos Garmpis6Georgios D. Lianos7Dimitrios Schizas8Second Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceDepartment of Radiology, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceFirst Department of Surgery, National and Kapodistrian University of Athens, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceSecond Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceSecond Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceSecond Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceSecond Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceDepartment of Surgery, University Hospital of Ioannina, 45110 Ioannina, GreeceFirst Department of Surgery, National and Kapodistrian University of Athens, General Hospital of Athens “Laiko”, AgiouThoma 17, 11527 Athens, GreeceHepatocellular carcinoma (HCC) is the most common primary liver malignancy. It is principally associated with liver cirrhosis and chronic liver disease. The major risk factors for the development of HCC include viral infections (HBV, HCV), alcoholic liver disease (ALD,) and non-alcoholic fatty liver disease (NAFLD). The optimal treatment choice is dictated by multiple variables such as tumor burden, liver function, and patient’s health status. Surgical resection, transplantation, ablation, transarterial chemoembolization (TACE), and systemic therapy are potentially useful treatment strategies. TACE is considered the first-line treatment for patients with intermediate stage HCC. The purpose of this review was to assess the indications, the optimal treatment schedule, the technical factors associated with TACE, and the overall application of TACE as a personalized treatment for HCC.https://www.mdpi.com/2075-4426/12/3/436hepatocellular carcinomatransarterial chemoembolizationcirrhosisliverneoplasm
spellingShingle Evgenia Kotsifa
Chrysovalantis Vergadis
Michael Vailas
Nikolaos Machairas
Stylianos Kykalos
Christos Damaskos
Nikolaos Garmpis
Georgios D. Lianos
Dimitrios Schizas
Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?
Journal of Personalized Medicine
hepatocellular carcinoma
transarterial chemoembolization
cirrhosis
liverneoplasm
title Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?
title_full Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?
title_fullStr Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?
title_full_unstemmed Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?
title_short Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?
title_sort transarterial chemoembolization for hepatocellular carcinoma why when how
topic hepatocellular carcinoma
transarterial chemoembolization
cirrhosis
liverneoplasm
url https://www.mdpi.com/2075-4426/12/3/436
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