Faculty of Hepato-Pancreato-Biliary Surgery, Chinese PLA General Hospital; Institute of Hepatobiliary Surgery of the Chinese PLA; Key Laboratory of Digital Hepatobiliary Surgery of the Chinese PLA, Beijing, China.
Chongqing Health Statistics Information Center, Chongqing, China.
Biosci Trends. 2022 May 17;16(2):130-141. doi: 10.5582/bst.2022.01019. Epub 2022 Apr 17.
Hepatocellular carcinoma (HCC) has been the fifth most common malignancy worldwide and is the second most common cause of tumor-related mortality globally. In China, a high proportion of patients with HCC present with an advanced stage of the disease, so HCC is a major challenge to the healthcare system and a substantial socioeconomic burden. The last decade has witnessed an expansion of the treatment landscape for HCC. Various approaches have been explored as potential conversion therapies for advanced HCC. Despite controversies, mounting data have indicated that successful conversion therapy followed by subsequent surgery is achievable in a population of patients with advanced HCC. This conversion therapy is a safe and promising treatment strategy to prolong long-term outcomes. Based on preliminary research, this review has assembled and summarized current clinical experience with and evidence of the efficacy of conversion therapies followed by subsequent surgery for advanced HCC.
肝细胞癌(HCC)已成为全球第五大常见恶性肿瘤,也是全球肿瘤相关死亡的第二大主要原因。在中国,大多数 HCC 患者就诊时已处于疾病晚期,因此 HCC 是医疗体系面临的重大挑战,也是重大的社会经济负担。过去十年,HCC 的治疗领域不断扩展。各种方法被探索作为晚期 HCC 的潜在转化治疗。尽管存在争议,但越来越多的数据表明,对于晚期 HCC 患者,成功的转化治疗后再行手术是可行的。这种转化治疗是一种安全且有前途的治疗策略,可以延长长期预后。基于初步研究,本综述收集并总结了目前关于晚期 HCC 转化治疗后再行手术的临床经验和疗效证据。