How do you approach further management in patients with initially unresectable hepatocellular carcinoma who are downstaged after transarterial chemoembolization?
Is salvage liver resection considered the next step in treatment for patients who may have resectable tumors after TACE? If so, do specific tumor characteristics drive the decision?
Answer from: Medical Oncologist at Academic Institution
There is a nice study recently published by a Chinese group looking at this very question (Zhang et al, Is Salvage Liver Resection Necessary for Initially Unresectable Hepatocellular Carcinoma Patients Downstaged by Transarterial Chemoembolization? Ten Years of Experience. Oncologist. 2016 Dec;21(12...