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. 2014 Feb 12;3(2):390–396. doi: 10.1002/cam4.197

Table 4.

Reduced HCC recurrence in patients on antiviral therapy.

Pts Year Dx Age Sex Tumor size (cm) Child-pugh class Initial tumor ablation Anti-HBV therapy Recurrence in months Retreatment Survival in months Status
1 2000 57 M 2.5 Rt A RFA LAM + TDF None None 152 Alive
2 2000 64 F 2.5 Rt A RFA LAM + TDF Residual TACE 151 Alive
3 2001 49 M 4.0 Rt A Resection LAM + TDF None None 140 Alive
4 2003 59 M 1.7 Rt A PCEI LAM + ADV None1 None 116 Alive
5 2003 50 M 2.5 Rt B Resection + RFA LAM + TDF None None 116 Alive
6 2003 41 M 2.0 Rt A RFA LAM + TDF None None 116 Alive
7 2004 60 M 3.4 Rt A TACE + RFA LAM None None 104 Alive
8 2004 55 M 4.6 Rt A TACE LAM + TDF 5 × 4 cm at 6 months Lap-RFA chemo 15 Dead
9 2005 57 M 3.2 Rt A RFA, resection LAM + ADV None None 94 Alive
10 2006 67 M 1.0 Rt A RFA LAM + TDF None None 88 Alive
11 2007 20 F 2.8 Rt A RFA + TACE TLV + TDF None None 65 Alive
12 2008 73 M 7.0 Rt B TACE x2, PCEI, RFA LAM + TDF Residual None 57 Alive
131 2008 65 M 2.3 Rt A TACE LAM + ADV None None 50 Dead
14 2009 51 M 4.0 Rt A TACE TLV + TDF None None 50 Alive
15 2009 53 M 3.0 Rt A TACEx2 TDF None None 38 Alive
16 2010 66 M 1.4 Rt A TACE TDF None None 26 Alive

HCC, hepatocellular carcinoma; RFA, radiofrequency ablation; LAM, lamivudine; TDF, tenofovir disoproxil fumarate; PCEI, percutaneous ethanol injection; ADV, adefovir dipivoxil; TACE, transarterial chemoembolization; Lap, laparoscopic; TLV, telbivudine.

1

Pt (no. 4) following successful PCEI ablation of Rt lobe HCC remained tumor-free for 7 years. During his trip abroad, he ran out of medicine for 3 weeks. Restarted antiviral drugs. Three months later, on a follow-up visit MRI, a new 6 mm lesion was detected at different site (Lt lobe) of the liver. At 3-month follow-up, the lesion grew to 1 cm and it was TACE'd. Pt (no. 4) is tumor-free for 4 years since and is on antiviral therapy.