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N Engl J Med. 2020 May 14;382(20):1894-1905. doi: 10.1056/NEJMoa1915745.
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The LI-RADS Version 2018 MRI Treatment Response Algorithm: Evaluation of Ablated Hepatocellular Carcinoma.LI-RADS 版本 2018 MRI 治疗反应算法:消融治疗肝细胞癌的评估。
Radiology. 2020 Feb;294(2):320-326. doi: 10.1148/radiol.2019191581. Epub 2019 Dec 17.
3
Emerging agents and regimens for hepatocellular carcinoma.新兴的肝癌治疗药物和方案。
J Hematol Oncol. 2019 Oct 26;12(1):110. doi: 10.1186/s13045-019-0794-6.
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Sorafenib with Transarterial Chemoembolization Achieves Improved Survival vs. Sorafenib Alone in Advanced Hepatocellular Carcinoma: A Nationwide Population-Based Cohort Study.索拉非尼联合经动脉化疗栓塞术对比单纯索拉非尼治疗晚期肝细胞癌可提高生存率:一项基于全国人群的队列研究
Cancers (Basel). 2019 Jul 15;11(7):985. doi: 10.3390/cancers11070985.
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Sorafenib with or without concurrent transarterial chemoembolization in patients with advanced hepatocellular carcinoma: The phase III STAH trial.索拉非尼联合或不联合经动脉化疗栓塞治疗晚期肝细胞癌患者的 III 期 STAH 试验。
J Hepatol. 2019 Apr;70(4):684-691. doi: 10.1016/j.jhep.2018.11.029. Epub 2018 Dec 6.
6
Comparison of the efficacy and safety of Transarterial chemoembolization with and without Apatinib for the treatment of BCLC stage C hepatocellular carcinoma.比较载药微球动脉化疗栓塞联合或不联合阿帕替尼治疗巴塞罗那临床肝癌分期 C 期肝癌的疗效和安全性。
BMC Cancer. 2018 Nov 19;18(1):1131. doi: 10.1186/s12885-018-5081-3.
7
Yttrium-90 transarterial radioembolization versus conventional transarterial chemoembolization for patients with hepatocellular carcinoma: a systematic review and meta-analysis.钇-90经动脉放射性栓塞术与传统经动脉化疗栓塞术治疗肝细胞癌患者的系统评价和荟萃分析
Cancer Biol Med. 2018 Aug;15(3):299-310. doi: 10.20892/j.issn.2095-3941.2017.0177.
8
Combined transarterial chemoembolization and microwave ablation versus transarterial chemoembolization in BCLC stage B hepatocellular carcinoma.经动脉化疗栓塞联合微波消融与经动脉化疗栓塞治疗BCLC B期肝细胞癌的比较
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肝细胞癌局部区域治疗的诊断、分期及患者选择

Diagnosis, Staging, and Patient Selection for Locoregional Therapy to Treat Hepatocellular Carcinoma.

作者信息

Berman Zachary T, Newton Isabel

机构信息

Department of Radiology, University of California San Diego, San Diego, California.

Department of Radiology, Veterans Affairs San Diego Healthcare System, San Diego, California.

出版信息

Semin Intervent Radiol. 2020 Dec;37(5):441-447. doi: 10.1055/s-0040-1719185. Epub 2020 Dec 11.

DOI:10.1055/s-0040-1719185
PMID:33328699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7732572/
Abstract

Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related mortality and the only cancer for which the incidence and mortality are on the rise. Sensitive and specific screening and diagnostic approaches, robust staging regimens, multidisciplinary tumor boards, and patient/family education and engagement in the shared decision-making process help to identify a patient's optimal treatment options. Locoregional therapies have been the mainstay for treating intermediate-stage disease, but they are finding special applications for early and advanced disease. This review discusses the diagnosis of HCC, current accepted staging models, and treatment of HCC, with a focus on locoregional therapies.

摘要

肝细胞癌(HCC)是癌症相关死亡的第二大主要原因,也是发病率和死亡率呈上升趋势的唯一癌症。灵敏且特异的筛查和诊断方法、完善的分期方案、多学科肿瘤专家委员会以及患者/家属教育并参与共同决策过程,有助于确定患者的最佳治疗方案。局部区域治疗一直是治疗中期疾病的主要手段,但它们在早期和晚期疾病中也有特殊应用。本文综述了HCC的诊断、目前公认的分期模型以及HCC的治疗,重点关注局部区域治疗。