Berman Zachary T, Newton Isabel
Department of Radiology, University of California San Diego, San Diego, California.
Department of Radiology, Veterans Affairs San Diego Healthcare System, San Diego, California.
Semin Intervent Radiol. 2020 Dec;37(5):441-447. doi: 10.1055/s-0040-1719185. Epub 2020 Dec 11.
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.
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。