HR Versus RFA for Early Stage HCC
HR Versus RFA for Early Stage HCC
Hepatocellular carcinoma (HCC) is the third leading death cancer in the world. It is
 important to explore a safe and effective therapy for early-stage HCC. Previous studies
 reported that radiofrequency ablation (RFA) has higher efficacy and is associated with fewer
 complications and shorter hospital stays than hepatic resection (HR) for early-stage HCC.
 However, meta-analysis and systematic review found that RFA is associated with higher
 recurrence rate and lower long-term overall survival.
Inclusion Criteria:

 -  Age 18-75 years

 -  Clinical diagnosis of HCC was confirmed by histopathological examination of surgical
 samples in all patients

 -  Tumor stage fitted into Milan Criteria

 -  Patients have Child-Pugh A liver function

 -  No previous neoadjuvant treatment

 -  No evidence of metastasis to the lymph nodes and/or distant metastases on the basis of
 preoperative imaging results and perioperative findings

 -  No malignancy other than HCC for 5 years prior to the initial HCC treatment

 -  No history of encephalopathy, ascites refractory to diuretics or variceal bleeding

 Exclusion Criteria:

 -  History of cardiac disease:

 -  Congestive heart failure > New York Heart Association (NYHA) class 2; active
 coronary artery disease (myocardial infarction more than 6 months prior to study
 entry is permitted);

 -  Cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers,
 calcium channel blocker or digoxin; or

 -  Uncontrolled hypertension (failure of diastolic blood pressure to fall below 90
 mmHg, despite the use of 3 antihypertensive drugs).

 -  Active clinically serious infections ( > grade 2 National Cancer Institute
 [NCI]-Common Terminology Criteria for Adverse Events version 3.0)

 -  Known history of human immunodeficiency virus (HIV) infection

 -  Known Central Nervous System tumors including metastatic brain disease

 -  Patients with clinically significant gastrointestinal bleeding within 30 days prior to
 study entry

 -  History of organ allograft

 -  Substance abuse, medical, psychological or social conditions that may interfere with
 the patient's participation in the study or evaluation of the study results

 -  Known or suspected allergy to the investigational agent or any agent given in
 association with this trial

 -  Any condition that is unstable or which could jeopardize the safety of the patient and
 his/her compliance in the study

 -  Pregnant or breast-feeding patients. Women of childbearing potential must have a
 negative pregnancy test performed within seven days prior to the start of study drug.
 Both men and women enrolled in this trial must use adequate barrier birth control
 measures during the course of the trial.

 -  Excluded therapies and medications, previous and concomitant:

 -  Autologous bone marrow transplant or stem cell rescue within four months of start
 of study drug