Locoregional treatment for hepatocellular carcinoma: The best is yet to come

Figure 1 Flow chart of Barcelona Clinic Liver Cancer based management guidelines for hepatocellular carcinoma[2]. HCC: Hepatocellular carcinoma; RFA: Radiofrequency ablation; TACE: Transarterial chemoembolization.

Figure 2 Axial computed tomography images before and after radiofrequency ablation shows an arterial enhancing lesion (arrow, A). That is replaced by a hypodense area without any enhancement following radiofrequency ablation (arrow, B).

Figure 3 Irreversible electroporation for an early stage hepatocellular carcinoma in left lobe (arrow) (A and B).

Figure 4 Computed tomography 1 mo after irreversible electroporation in the same patient as Figure 4. No residual enhancement is seen (arrow).

Figure 5 Trans-arterial chemoembolisation of a large hepatocellular carcinoma in right lobe of liver (arrow, A). Following transarterial chemoembolization, there is uniform distribution of lipiodol the lesion (arrow, B).