Evidence map›Paper›PMID 41446351›Full record

ArticleJournal of hepatocellular carcinoma2025

Combined TACE and Microwave Ablation for Recurrent Spiegel-Lobe HCC: A Four-Case Series.

Xin Guan, Ruosen Hou, Zhezhu Han, Xuezhe Piao, Songnan Zhang

Abstract readCase Reports
In one paragraph

Article in Journal of hepatocellular carcinoma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xin Guan *Department of Oncology, Yanbian University Hospital, Yanji, Jilin, People's Republic of China.
Ruosen Hou *Department of Oncology, China Medical University, Shenyang, Liaoning, People's Republic of China.ORCID 0009-0000-0587-4346
Zhezhu HanDepartment of Oncology, Yanbian University Hospital, Yanji, Jilin, People's Republic of China.
Xuezhe PiaoDepartment of Oncology, Yanbian University Hospital, Yanji, Jilin, People's Republic of China.
Songnan ZhangDepartment of Oncology, Yanbian University Hospital, Yanji, Jilin, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Spiegel lobe, a distinct subdivision of the hepatic caudate lobe, is characterized by its unique anatomical position, with close proximity to major hilar vasculature and extrahepatic structures. Therapeutic intervention for Spiegel lobe lesions remains technically challenging, with no established treatment protocol currently available. Case Presentation: This study reports four cases of recurrent hepatocellular carcinoma (HCC) in the Spiegel lobe treated with conventional transarterial chemoembolization (c-TACE) followed by microwave ablation (MWA) via a transhepatic left lobe approach. Postprocedural imaging assessment confirmed complete response (CR) in all patients according to mRECIST criteria. During a mean follow-up period of 33.75 months (range: 31-37), three patients maintained disease-free status, whereas one patient developed intrahepatic recurrence at 19.2 months. This patient achieved CR after repeat TACE-MWA combined with adjuvant lenvatinib and tislelizumab therapy. The mean overall survival (OS) was 33.75 months (95% CI: 31.2-36.3). Conclusion: The combination of transcatheter arterial chemoembolization (TACE) and microwave ablation (MWA) for treating recurrent hepatocellular carcinoma (HCC) in the Spiegel lobe was proven feasible in this series of studies, and demonstrated favorable efficacy and safety profiles.

Indexed as

microwave ablationrecurrent hepatocellular carcinomaSpiegel lobetranscatheter arterial chemoembolization

Identifiers

PMID41446351
PMCPMC12724177

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