Thouvenin Laure, Friedlaender Alex
Service d'oncologie médicale, HUG, 1211 Genève 14.
Rev Med Suisse. 2020 May 27;16(695):1074-1078.
Hepatocellular carcinoma (HCC) is the second most common cause of cancer-related mortality worldwide. It most often develops in cirrhosis, the etiology varying based on regional risk factors. Multidisciplinary treatment is the cornerstone of the management of HCC, with surgical or local treatments available for early-stage disease. In advanced disease, there was no progress for many years, with sorafenib in the first-line, and, more recently, regorafenib in selected second-line patients. In the last 2 years, multiple treatment options have surfaced, making the therapeutic decisions both more promising and complex.
肝细胞癌(HCC)是全球癌症相关死亡的第二大常见原因。它最常发生于肝硬化,其病因因地区风险因素而异。多学科治疗是HCC管理的基石,早期疾病可采用手术或局部治疗。在晚期疾病中,多年来一直没有进展,一线治疗为索拉非尼,最近,在部分二线患者中使用瑞戈非尼。在过去两年中,出现了多种治疗选择,这使得治疗决策既更有前景又更加复杂。