Kang Jumi, Kim Soon Sun
Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Korean J Gastroenterol. 2023 Jul 25;82(1):1-9. doi: 10.4166/kjg.2023.076.
Hepatocellular carcinoma (HCC) is a leading cause of cancer-related deaths globally. Early detection and treatment response monitoring of HCC are vital for improved outcomes. Traditional diagnostic methods rely on imaging, serum tumor markers, and invasive liver tissue biopsy. The advent of liquid biopsy has revolutionized cancer diagnostics and management. Liquid biopsy involves the detection and analysis of tumor-derived components, such as circulating tumor DNA, circulating tumor cells, and extracellular vesicles, in various body fluids. These components reflect tumor characteristics, genetic alterations, and functional changes, providing valuable information for HCC diagnosis and treatment response monitoring. Liquid biopsy offers several advantages, including its non-invasive nature, potential for repetitive sampling, and real-time monitoring of disease progression and treatment response. However, challenges remain, including the sensitivity of detection methods, and standardization. In this review, we discuss the methods, current status, and prospects of liquid biopsy for HCC, highlighting its potential as a valuable tool in HCC management.
肝细胞癌(HCC)是全球癌症相关死亡的主要原因之一。HCC的早期检测和治疗反应监测对于改善预后至关重要。传统的诊断方法依赖于影像学、血清肿瘤标志物和侵入性肝组织活检。液体活检的出现彻底改变了癌症的诊断和管理。液体活检涉及在各种体液中检测和分析肿瘤衍生成分,如循环肿瘤DNA、循环肿瘤细胞和细胞外囊泡。这些成分反映了肿瘤特征、基因改变和功能变化,为HCC诊断和治疗反应监测提供了有价值的信息。液体活检具有多种优势,包括其非侵入性、重复采样的潜力以及对疾病进展和治疗反应的实时监测。然而,挑战依然存在,包括检测方法的敏感性和标准化。在本综述中,我们讨论了HCC液体活检的方法、现状和前景,强调了其作为HCC管理中一种有价值工具的潜力。