학술논문

Transarterial Chemoembolization for Hepatocellular Carcinoma: Why, When, How?
Document Type
article
Source
Journal of Personalized Medicine, Vol 12, Iss 3, p 436 (2022)
Subject
hepatocellular carcinoma
transarterial chemoembolization
cirrhosis
liverneoplasm
Medicine
Language
English
ISSN
2075-4426
Abstract
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.