Microwave Ablation Simultaneously Combined With Lenavatinib for Recurrent Hepatocellular Carcinoma

Prior treatment

• receiving system therapy such as targeted therapy or immunotherapy;
• receiving local therapy such as ablation or TACE;

Other illness

• Accompanying with a history of other malignancies;

Lab values

• Any of the following occurred within 12 months of the study: myocardial infarction, severe / unstable angina, coronary artery bypass grafting, congestive heart failure, cerebrovascular accident (including transient ischemic attack), pulmonary embolism; ongoing arrhythmia by NCI-CTCA standard ≥ 2, prolonged QTc interval (450 ms for males, and\> 470 ms for females;
• other serious acute, chronic physiological or mental disorders or abnormal laboratory examination may increase the risk of participation in study treatment or may interfere with the interpretation of study findings or whom the investigator considers not fit;

Other

• disagreeing to receive follow-up observation and participate the clinical study;
• Accompanying with macrovascular invasion such as portal vain tumor thrombus, hepatic vein tumor thrombus;
• with extrahepatic metastasis or lymph metastasis;

• Primary HCC (BCLC 0-B), and the pathological results is hepatocellular carcinoma；
• recurrent HCC without any tumor related therapy；
• Tumor number ≤3；
• Tumor size ≤5cm;
• Good performance, KPS≥90；
• Age：18-75
• Child-Pugh A or B（score of the B level is no more than 7）
• Baseline laboratory examinations meet the Criteria： Leukocyte ≥3.0×109/L； Blood platelet ≥75×109/L； Hemoglobin ≥100g/L； ALT、AST ≤ 3 x limit of normal（ULN）； Serum creatinine ≤ 1.5 x ULN； Prothrombin time \< ULN+4 s；INR \< 1.5, Albumin ≥30g/L ； Total bilirubin ≤34mmol/L；