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Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2024, Vol. 12 ›› Issue (01): 64-69. doi: 10.3877/cma.j.issn.2095-5782.2024.01.011

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Progress in the treatment of liver cancer with portal vein thrombosis based on TACE

Haoran Cui1, Junpeng Gu1, Weixin Ren1,()   

  1. 1. Department of Interventional Radiology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Urmqi 830054, China
  • Received:2023-07-21 Online:2024-02-25 Published:2024-03-08
  • Contact: Weixin Ren

Abstract:

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors. Patients usually are diagnosed in the middle/advanced stage of HCC and more than half of the patients are accompanied by portal vein tumor thrombosis (PVTT). Without relevant intervention and treatment, the median survival period is about 2.7 months. There is no consensus in China on the choice of treatment methods for these patients. Traditional treatment methods, such as surgical treatment, liver transplantation, radiation therapy and targeted therapy still have unsatisfactory results. With the development of interventional treatment, the combined treatment based on transcatheter arterial chemoembolization (TACE) has shown significant efficacy. In this paper, the clinical diagnosis and pathological classification of hepatocellular carcinoma with portal vein tumor thrombosis and the research progress of TACE based combined with other therapy methods are summarized systematically, so as to provide reference for future clinical work.

Key words: Hepatocellular carcinoma, Portal vein cancer thrombosis, Transcatheter arterial chemoembolization intervention treatment

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