PMID- 32903854 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220416 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 11 DP - 2020 TI - TACE-Sorafenib With Thermal Ablation Has Survival Benefits in Patients With Huge Unresectable Hepatocellular Carcinoma. PG - 1130 LID - 10.3389/fphar.2020.01130 [doi] LID - 1130 AB - PURPOSE: To investigate the effectiveness and safety of transarterial chemoembolization (TACE) combined with sorafenib and thermal ablation in patients with huge hepatocellular carcinoma (HCC). MATERIALS AND METHODS: This retrospective study examined 50 patients with huge unresectable HCC treated from January 2009 to December 2015. Among them, 28 cases received TACE-sorafenib treatment (TACE-sorafenib group), and 22 cases received TACE-sorafenib plus thermal ablation treatment (TACE-sorafenib-thermal ablation group). The Overall survival (OS), progression-free survival (PFS), and adverse events (AEs) were compared. RESULTS: The median follow-up was 13.5 months (ranges 4.2 to 96.7 months). The median OS was significantly longer in the TACE-sorafenib-thermal ablation group than that in the TACE-sorafenib group (20.8 vs. 10.4 months, P=0.003). The median PFS of the ablation and no ablation groups were 4.3 vs. 7.1 months (P=0.546). The treatment modality was an independent predictor of OS (P=0.004). There were no notable drug-related high grade adverse events or permanent adverse sequelae. CONCLUSION: TACE-sorafenib-thermal ablation provided extended OS to patients with huge unresectable HCC and could be a better choice than TACE-sorafenib. CI - Copyright (c) 2020 Wu, Qi, Cao, Shen, Chen, Xie, Huang, Song, Zhou and Fan. FAU - Wu, Ying AU - Wu Y AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Qi, Han AU - Qi H AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Cao, Fei AU - Cao F AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Shen, Lujun AU - Shen L AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Chen, Shuanggang AU - Chen S AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Xie, Lin AU - Xie L AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Huang, Tao AU - Huang T AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Song, Ze AU - Song Z AD - State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University, Guangzhou, China. FAU - Zhou, Danyang AU - Zhou D AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University, Guangzhou, China. FAU - Fan, Weijun AU - Fan W AD - Department of Minimally Invasive Interventional Therapy, Sun Yat-sen University Cancer Center, Guangzhou, China. AD - Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. LA - eng PT - Journal Article DEP - 20200729 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC7438914 OTO - NOTNLM OT - drug resistance OT - hepatocellular carcinoma OT - sorafenib OT - thermal ablation OT - transarterial chemoembolization OT - treatment EDAT- 2020/09/10 06:00 MHDA- 2020/09/10 06:01 PMCR- 2020/07/29 CRDT- 2020/09/09 17:58 PHST- 2020/06/15 00:00 [received] PHST- 2020/07/10 00:00 [accepted] PHST- 2020/09/09 17:58 [entrez] PHST- 2020/09/10 06:00 [pubmed] PHST- 2020/09/10 06:01 [medline] PHST- 2020/07/29 00:00 [pmc-release] AID - 10.3389/fphar.2020.01130 [doi] PST - epublish SO - Front Pharmacol. 2020 Jul 29;11:1130. doi: 10.3389/fphar.2020.01130. eCollection 2020.