Voesch Sabrina, Bitzer M, Malek N
Medizinische Klinik I, Universitätsklinikum Tübingen, Otfried-Müller-Str. 10, 72076, Tübingen, Deutschland.
Radiologe. 2022 Mar;62(3):200-204. doi: 10.1007/s00117-022-00970-3. Epub 2022 Feb 11.
The update of the S3 German guideline for the management of the hepatocellular carcinoma and biliary tract cancer contains a comprehensive revision of the guideline for hepatocellular carcinoma and establishes a new guideline for biliary tract cancer. In recent years several studies have been conducted to improve diagnostic and therapeutic options for liver cancer. Magnetic resonance imaging (MRI) and biopsy are important for the diagnosis of hepatocellular carcinoma or cholangiocarcinoma. This guideline shows the progress in the treatment options for hepatocellular carcinoma, including advances in liver transplantation, bridging and downstaging. For cholangiocarcinoma there is a focus on interventional treatment and resection. This guideline also emphasizes the need of molecular diagnostics and the resulting treatment options in targeted therapy.
德国S3肝细胞癌和胆管癌管理指南的更新对肝细胞癌指南进行了全面修订,并制定了新的胆管癌指南。近年来开展了多项研究以改善肝癌的诊断和治疗选择。磁共振成像(MRI)和活检对肝细胞癌或胆管癌的诊断很重要。本指南展示了肝细胞癌治疗选择方面的进展,包括肝移植、过渡治疗和降期治疗的进展。对于胆管癌,重点在于介入治疗和手术切除。本指南还强调了分子诊断的必要性以及由此产生的靶向治疗选择。