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Liver Cancer
Liver Cancer - Karger Publishers
F21507
Liver Cancer - Karger Publishers
Official Journal of the Asia-Pacific Primary Liver Cancer Expert Association (APPLE)
                                  Affiliated with the Eastern and Western Association on Liver Tumors (EWALT)

                                  Liver Cancer

Official Journal of               Editor-in-Chief
                                  Masatoshi Kudo – Kindai University, Osaka, Japan

                                  Associate Editors
                                  Pei-Jer Chen – National Taiwan University Hospital, Taipei, Taiwan
                                  Ann-Lii Cheng – National Taiwan University Hospital, Taipei, Taiwan
APPLE Editorial Representatives   Jia Fan – Fudan University, Shanghai, China
M. Kudo, Osaka                    Kwang-Hyub Han – Yonsei University College of Medicine, Seoul, Korea
K.-H. Han, Seoul                  Namiki Izumi – Musashino Red Cross Hospital, Tokyo, Japan
S.-L. Ye, Shanghai                Norihiro Kokudo – National Center for Global Health and Medicine, Tokyo, Japan
                                  Jeong Min Lee – Seoul National University College of Medicine, Seoul, Korea
Affiliated with                   Riccardo Lencioni – Pisa University School of Medicine, Pisa, Italy
                                  Jens Ricke – Ludwig-Maximilians-Universität München, Munich, Germany
                                  Lewis R. Roberts – Mayo Clinic, Rochester, MN, USA
                                  Michiie Sakamoto – Keio University, Tokyo, Japan
                                  Augusto Villanueva – Icahn School of Medicine at Mount Sinai, New York, NY, USA
                                  Sheng-Long Ye – Fudan University, Shanghai, China
                                  Andrew X. Zhu – Massachusetts General Hospital Cancer Center, Boston, MA, USA

                                  Editorial Board Members
                                  Jacques Belghiti – Beaujon Hospital, Clichy, France
                                  See Ching Chan – Queen Mary Hospital University, Hong Kong, China
                                  Pierce Chow – Duke-NUS Graduate Medical School, Singapore, Singapore
                                  Laura Crocetti – University of Pisa, Pisa, Italy
                                  Alessandro Cucchetti – University of Bologna, Bologna, Italy
                                  Richard S. Finn – University of California at Los Angeles, Santa Monica, CA, USA
                                  Francesca Fornari – University of Bologna, Bologna, Italy
                                  Junji Furuse – Kyorin University, Tokyo, Japan
                                  Liana Gheorghe – Fundeni Clinical Institute, Bucharest, Romania
                                  Kiyoshi Hasegawa – The University of Tokyo, Tokyo, Japan
                                  Etsuro Hatano – Kyoto University, Kyoto, Japan
                                  Massimo Iavarone – University of Milan, Milan, Italy
                                  Masafumi Ikeda – National Cancer Center Hospital East, Kashiwa, Japan
                                  Yasuharu Imai – Ikeda Municipal Hospital, Osaka, Japan
                                  Masa Kanematsu – Gifu University Hospital, Gifu, Japan
                                  Xiao-Jie Lu – Nanjing Medical University, Nanjing, China

                                                                                                            (Continued on next page)

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Liver Cancer - Karger Publishers
(Continued)

Irene Oi-lin Ng – The University of Hong Kong, Hong Kong, China
Naoshi Nishida – Kindai University, Osaka, Japan
Kazuhiro Nouso – Okayama University, Okayama, Japan
Fabio Piscaglia – University of Bologna, Bologna, Italy
Toshiharu Sakurai – Kindai University, Osaka, Japan
Peter Schemmer – Medical University of Graz, Graz, Austria
Jinsil Seong – Yonsei University, Seoul, Korea
Wolfgang Sieghart – Medical University of Vienna, Vienna, Austria
Ryosuke Tateishi – The University of Tokyo, Tokyo, Japan
Guido Torzilli – Humanitas University, Milan, Italy
Kaoru Tsuchiya – Musashino Red Cross Hospital, Tokyo, Japan
Kazuomi Ueshima – Kindai University, Osaka, Japan
Maria Varela – Hospital Universitario Central de Asturias, Oviedo, Spain
Jean Nicolas Vauthey – University of Texas, Houston, TX, USA
Chris Verslype – University of Leuven, Leuven, Belgium
Arndt Weinmann – Johannes Gutenberg University, Mainz, Germany
Tatsuya Yamashita – Kanazawa University Hospital, Kanazawa, Japan

                                              © 2021 S. Karger AG, Basel
                                              www.karger.com
                                              karger@karger.com
Liver Cancer - Karger Publishers
Journal Information

                                                 Aims and Scope
                                                 Liver cancer has a very high prevalence among cancers in general and is one of the most
                                                 common causes of death worldwide. Based on these facts, the journal Liver Cancer serves
                                                 the growing need to better understand the causes, mechanisms and therapy of the malig-
                                                 nancy. It provides the international community of researchers and clinicians with a platform
                                                 for their research results, focusing on molecular carcinogenesis, prevention, surveillance,
Guidelines for Authors                           diagnosis and treatment, including molecular targeted therapy, of the disease. Liver Cancer
We strongly encourage authors to read
the Guidelines for Authors at
                                                 publishes clinical and translational research related to the field of liver cancer in both hu-
www.karger.com/lic_guidelines prior to           mans and experimental models in the form of original and review articles.
submitting an article.

Journal Contact
For questions or comments, please contact
the persons responsible who can be found at
https://www.karger.com/Journal/Contact/255487.

                                                 ISSN Print Edition: 2235–1795                             Disclaimer: The statements, opinions and data con-
                                                 ISSN Online Edition: 1664–5553                            tained in this publication are solely those of the indi-
                                                                                                           vidual authors and contributors and not of the pub-
                                                 Journal Homepage: www.karger.com/lic                      lisher and the editor(s). The appearance of advertise-
                                                 Bibliographic Indices: This journal is regularly listed   ments in the journal is not a warranty, endorsement,
                                                 in bibliographic services including PubMed.               or approval of the products or services advertised or
                                                                                                           of their effectiveness, quality or safety. The publisher
                                                 Publication Data: Liver Cancer is published 6 times       and the editor(s) disclaim responsibility for any injury
                                                 a year. Volume 10 with 6 issues appears in 2021.          to persons or property resulting from any ideas,
                                                                                                           methods, instructions or products referred to in the
                                                 Copyright: © 2021 S. Karger AG, Basel (Switzerland).      content or advertisements.
                                                 All rights reserved. No part of this publication may be
                                                 translated into other ­languages, reproduced or uti-
                                                 lized in any form or by any means, electronic or me-
                                                 chanical, including photocopying, recording, micro-
                                                 copying, or by any information storage and retrieval
                                                 system, without permission in writing from the pub-
                                                 lisher.

                                                                                                           © 2021 S. Karger AG, Basel
                                                                                                           www.karger.com
                                                                                                           karger@karger.com
Liver Cancer - Karger Publishers
Vol. 10, No. 1, 2021

Contents

     Editorial
  1 Impact of Multi-Drug Sequential Therapy on Survival in Patients with Unresectable
    Hepatocellular Carcinoma
     Kudo, M. (Osaka)

     Meta-Analysis
 10 Diffusion-Weighted Imaging Reflects Tumor Grading and Microvascular Invasion in
     Hepatocellular Carcinoma
     Surov, A.; Pech, M.; Omari, J.; Fischbach, F.; Damm, R.; Fischbach, K.; Powerski, M.; Relja, B.
     (Magdeburg); Wienke, A. (Halle)

     Original Papers
 25 Laparoscopic Liver Resection versus Percutaneous Radiofrequency Ablation for
     Small Single Nodular Hepatocellular Carcinoma: Comparison of Treatment Outcomes
     Lee, D.H. (Seoul); Kim, J.W. (Chosun); Lee, J.M. (Seoul); Kim, J.M.; Lee, M.W.; Rhim, H. (Samsung);
     Hur, Y.H. (Chonnam); Suh, K.-S. (Seoul)
 38 Clinical-Radiomic Analysis for Pretreatment Prediction of Objective Response to First
     Transarterial Chemoembolization in Hepatocellular Carcinoma
     Chen, M.; Cao, J.; Hu, J.; Topatana, W.; Li, S.; Juengpanich, S. (Hangzhou); Lin, J. (Quzhou); Tong, C.
     (Shaoxing); Shen, J.; Zhang, B. (Hangzhou); Wu, J. (New York, NY); Pocha, C. (Sioux Falls, SD); Kudo, M.
     (Osaka); Amedei, A. (Florence); Trevisani, F. (Bologna); Sung, P.S. (Seoul); Zaydfudim, V.M.
     (Charlottesville, VA); Kanda, T. (Tokyo); Cai, X. (Hangzhou); AME Hepatocellular Carcinoma
     Collaborative Group
 52 Efficacy and Safety of Lenvatinib Therapy for Unresectable Hepatocellular Carcinoma
     in a Real-World Practice in Korea
     Goh, M.J.; Oh, J.H.; Park, Y.; Kim, J.; Kang, W.; Sinn, D.H.; Gwak, G.-Y.; Paik, Y.-H.; Choi, M.S.; Lee, J.H.;
     Koh, K.C.; Paik, S.W. (Seoul)
 63 Feasibility and Techniques of Securing 3D-Safety Margin in Superselective
     Transarterial Chemoembolization to Improve Local Tumor Control for Small
     Hepatocellular Carcinoma: An Intend-to-Treat Analysis
     Charoenvisal, C. (Kashihara/Bangkok); Tanaka, T.; Nishiofuku, H. (Kashihara); Anai, H. (Nara); Sato, T.;
     Matsumoto, T.; Marugami, N.; Kichikawa, K. (Kashihara)
 72 Switching Monopolar No-Touch Radiofrequency Ablation Using Octopus Electrodes
     for Small Hepatocellular Carcinoma: A Randomized Clinical Trial
     Park, S.-J.; Cho, E.J.; Lee, J.-H.; Yu, S.J.; Kim, Y.J.; Yoon, J.-H.; Kang, H.-J.; Yoon, J.H.; Lee, D.H.; Kim, S.H.;
     Lee, J.Y.; Lee, J.M. (Seoul)

     Society News
 82 APPLE News

Cover illustration
© 123rf.com

                                                              © 2021 S. Karger AG, Basel

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                                                              including tentative ones for forthcoming issues:
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Liver Cancer - Karger Publishers
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     F21501
An international platform for key opinions and research

                                      Editors
                                      Jing-Yuan Fang,
                                        Shanghai
                                      Peter Malfertheiner,
                                        Munich

Gastrointestinal Tumors is an international, peer-reviewed journal that      Selected contributions
brings together the leading opinions in all fields related to gastrointes-   • Mortality and Survival after Surgical Treatment of Colorectal Cancer in
tinal cancer research. Ranging from the identification of new therapeu-        Patients Aged over 80 Years: Mäkelä, J.T.; Klintrup, K.H.; Rautio, T.T. (Oulu)
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management, the journal provides a platform for the dissemination of          Liyanage, C.A.H.; Gunetilleke, B.; Niriella, M.A.; de Silva, J.; Dassanayake, A.S.;
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key opinions and research from thought leaders in the field. By publish-
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of research across the relevant disciplines.                                   Cancer: Does It Really Matter: Plastiras, A.; Sideris, M.; Gaya, A.; Haji, A.;
                                                                              Nunoo-Mensah, J.; Haq, A.; Papagrigoriadis, S. (London)
                                                                             • Dietary and Lifestyle Factors Associated with Colorectal Cancer Risk and
                                                                               Interactions with Microbiota: Fiber, Red or Processed Meat and Alcoholic
                                                                               Drinks: Tuan, J.; Chen, Y.-X. (Shanghai)
                                                                             • Etiology and Prevention of Gastric Cancer: Cheng, X.J.; Lin, J.C.; Tu, S.P.
                                                                              (Shanghai)
                                                                             • Prevention of Hepatocellular Carcinoma: Schütte, K. (Osnabrück);
                                                                              Balbisi, F.; Malfertheiner, P. (Magdeburg)
                                                                             • A Recent Advance in Image-Guided Locoregional Therapy for
                                                                               Hepatocellular Carcinoma: Shi, Y.; Zhai, B. (Shanghai)

Gastrointestinal Tumors
Founded: 2014
Category: Clinical Research
Fields of Interest: Gastroenterology, Oncology
Listed in bibliographic services, including:
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2019: Volume 6
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                                      Progress in Tumor Research
  Read it online:                     Overviews of key areas of tumor research
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  Series Editors                         Progress in Tumor Research
                                         Editors: R.A. Stahel, S. Peters
                                         Vol. 44
                                                                                                                 Progress in Tumor Research
                                                                                                                 Editors: R.A. Stahel, S. Peters
                                                                                                                 Vol. 43
                                                                                                                                                                                                                      Progress in Tumor Research
                                                                                                                                                                                                                      (formerly Progress in Experimental Tumor Research)

                                                                                                                                                                                                                      Editors: R.A. Stahel, S. Peters
                                                                                                                                                                                                                                                                              Progress in Tumor Research
                                                                                                                                                                                                                                                                              (formerly Progress in Experimental Tumor Research)

                                                                                                                                                                                                                                                                              Editors: R.A. Stahel, S. Peters
                                                                                                                                                                                                                      Vol. 42                                                 Vol. 41

  R.A. Stahel, Zurich                    Advances in                                                             Tumors in Adolescents                                                                                Immuno-Oncology                                         Successes and
                                         Radiation Therapy                                                       and Young Adults                                                                                                                                             Limitations of Targeted
  S. Peters, Lausanne                                                                                            Editors
                                                                                                                                                                                                                      Editors

                                                                                                                                                                                                                      O. Michielin                                            Cancer Therapy
                                         Editors
                                                                                                                 D.P. Stark                                                                                           G. Coukos
                                         M. Guckenberger                                                                                                                                                                                                                      Editors
                                         S.E. Combs                                                              G. Vassal
                                                                                                                                                                                                                                                                              S. Peters
                                         D. Zips                                                                                                                                                                                                                              R.A. Stahel
                                                                                                                           All cancer, female, 15–39 years
                                                                                                           750

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                                                                                                           450

                                                                                                           300

                                                                                                           150
                                                                                                                        East                   North
                                                                                                                        South and West         UK
                                                                                                             0
                                                                                                                 1991   1994     1997      2000     2003     2006
                                                                                                                                        Year

                                                                                                                                                                    Endorsed by

                                                                                                                                                                    SIOP
                                                                                                                                                                    SIOP Europe
                                                                                                                                                                    the European Society for Paediatric Oncology

  Progress in Tumor                   Vol. 44: Advances in                    Vol. 43: Tumors in                                                                                                                   Vol. 42: Immuno-Oncology                                Vol. 41: Successes and
  Research                            Radiation Therapy                       Adolescents and                                                                                                                      Editors: Michielin, O.; Coukos, G.                      Limitations of Targeted
  Founded: 1960                       Editors: Guckenberger, M. (Zurich);     Young Adults                                                                                                                         (Lausanne)                                              Cancer Therapy
  Field of Interest: Oncology         Combs, S.E. (Munich); Zip, D.           Editors: Stark, D.P. (Leeds); Vassal, G.                                                                                             VI + 140 p., 8 fig., 5 in color,                        Editors: Peters, S. (Lausanne);
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