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Regional therapies are a key component of treatment of hepatocellular cancers (HCCs) and include transcatheter arterial embolization (TAE) with chemotherapy (TACE) or without and radiofrequency ablation (RFA). Early-stage HCC is treated with hepatic resection and RFA of small lesions.
Investigators report long-term outcomes from an open-label, multicenter, randomized phase 3 trial comparing RFA with or without TACE in patients in China with early-stage HCC amenable to regional therapy without surgery. In the combination therapy arm, TACE was performed first, followed by RFA. Eligible patients had a solitary lesion ≤7 cm in diameter or three or fewer lesions each ≤3 cm in diameter. Of 189 patients randomized, 77% were men, 89% were hepatitis …