What is your treatment algorithm for solitary hepatocellular carcinoma, 3-5 cm, non-operative candidate but Child-Turcotte Pugh A/B?

Topics: Radiation Oncology • Gastrointestinal Cancers

Do you recommend TACE, RFA, radioembolization, systemic therapy or SBRT? What if the size is >5 cm?

Answer from: Radiation Oncologist at Academic Institution

This really boils down to two issues: CTP score and size of the lesion. For patients who are CTPA with a lesion <3 cm, RFA/MWA or SBRT are good options although there is some data from the University of Michigan (Wahl et al., JCO 2014) that lesions > 2 cm are better served with SBRT. For solit...

Comments

Medical Oncologist at Hennepin County Medical Center
I struggle with the timing of starting systemic tr...

Radiation Oncologist at Mayo Clinic, Rochester
The initiation of systemic therapy depends on the ...

Medical Oncologist at Hennepin County Medical Center
Thank you very much for the excellent explanation....

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