Abstract: Objective To evaluate the therapeutic efficacy of sorafenib in combination with microwave coagulation therapy (MCT) and trans-arterial chemoembolization (TACE) in patients with recurrent liver cancer.Methods From January 2006 to January 2010,90 patients with recurrent hepatocellular carcinoma (HCC) were treated with MCT and TACE in our hospital.The treatment group received sorafenib + MCT + TACE,and the control group received MCT + TACE.Results RR of the treatment group was 66.7%,which of the control group was 52.0% (P >0.05).DCR was 83.3% in the treatment group and 64.5% in the control group (P <0.05).Through a comparison of survival curves along with the extension of time,the survival rates of the two groups were decreased,but the treatment group (group 1) had a significantly higher one than the control group (group 2),with a statistically significant difference (P < 0.05).Conclusion Sorafenib combined with MCT and TACE can improve the disease control rate and prolong the survival in patients with recurrent HCC.