TACE-Ablate Approach to Treatment of a Solitary HCC

Transarterial chemoembolization, combined with thermal ablation, is likely to provide the most durable response for this patient (1, 2). Although surgical resection is potentially curative, portal hypertension may preclude resection at many centers. This hepatocellular carcinoma is peripheral and favorable for ablation, but its size (>3 cm) makes curative ablation more challenging to achieve. Complete necrosis rates in the radiofrequency ablation literature decrease as the lesion size increases to greater than 3 cm.

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