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肝细胞癌局部区域治疗联合免疫治疗和靶向治疗的进展

Advances in locoregional therapy for hepatocellular carcinoma combined with immunotherapy and targeted therapy.

作者信息

Xue Jian, Ni Hongbo, Wang Fan, Xu Ke, Niu Meng

机构信息

Department of Interventional Radiology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, 110000, China.

出版信息

J Interv Med. 2021 May 15;4(3):105-113. doi: 10.1016/j.jimed.2021.05.002. eCollection 2021 Aug.

Abstract

Locoregional therapies (LRTs) of hepatocellular carcinoma (HCC) represented by ablation and TACE has become the main means for the clinical treatment of unresectable HCC. Among these, TACE is used throughout the stage Ib to IIIb of HCC treatment. In recent years, immunotherapy led by immune checkpoint inhibitors has become a hot direction in clinical research. At the same time, targeted drugs such as Sorafenib and Apatinib have played an important role in the treatment and complementary therapy of advanced HCC, and their clinical application has been quite mature. HCC is the sixth most common malignant tumor in the world. When it comes to its treatment, different therapies have different indications, and their individual efficacies are not satisfactory, which makes the exploration of the use of combination therapy in HCC treatment become a new trend. In this paper, the status of the three therapies and the progress of their combined application are briefly reviewed.

摘要

以消融和经动脉化疗栓塞术(TACE)为代表的肝细胞癌(HCC)局部区域治疗已成为不可切除HCC临床治疗的主要手段。其中,TACE贯穿于HCC治疗的Ib期至IIIb期。近年来,以免疫检查点抑制剂为主导的免疫治疗已成为临床研究的热点方向。同时,索拉非尼和阿帕替尼等靶向药物在晚期HCC的治疗及辅助治疗中发挥了重要作用,其临床应用已相当成熟。HCC是全球第六大常见恶性肿瘤。在其治疗方面,不同疗法有不同的适应证,且各自疗效并不理想,这使得探索联合疗法在HCC治疗中的应用成为新趋势。本文简要综述了这三种疗法的现状及其联合应用进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b9/8562181/073612c890fb/gr1.jpg

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