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可切除性肝内胆管癌术后辅助治疗的研究进展与展望

Research progress and prospect of postoperative adjuvant therapy for resectable intrahepatic cholangiocarcinoma.

作者信息

Sun Yanxin, Jiang Wei, Duan Ruiheng, Guan Lianyue

机构信息

Department of Hepatobiliary-Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.

出版信息

Front Pharmacol. 2024 Aug 7;15:1432603. doi: 10.3389/fphar.2024.1432603. eCollection 2024.

DOI:10.3389/fphar.2024.1432603
PMID:39170710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11335543/
Abstract

Intrahepatic cholangiocarcinoma (ICC) is the second most common primary malignancy of the liver, following hepatocellular carcinoma (HCC). Surgical resection remains the only potentially curative treatment for ICC. However, due to its high malignancy and propensity for postoperative recurrence, the prognosis for ICC is generally poor, and there is currently little standardized approach for adjuvant therapy following curative surgery. This article aims to explore adjuvant treatment strategies for ICC post-curative surgery by reviewing retrospective studies and clinical trials conducted in recent years. The analysis focuses on the effectiveness, challenges, and potential developments in the management of ICC post-surgery, considering the high recurrence rates and the need for improved therapeutic approaches to enhance patient outcomes. Additionally, we discuss the various types of adjuvant treatments that have been explored, including chemotherapy, radiation therapy, and targeted therapies. The goal is to provide a comprehensive overview of the current landscape and highlight promising directions for future research to improve survival and quality of life for ICC patients.

摘要

肝内胆管癌(ICC)是肝脏第二常见的原发性恶性肿瘤,仅次于肝细胞癌(HCC)。手术切除仍然是ICC唯一可能治愈的治疗方法。然而,由于其高恶性和术后复发倾向,ICC的预后通常较差,目前对于根治性手术后的辅助治疗几乎没有标准化方法。本文旨在通过回顾近年来开展的回顾性研究和临床试验,探讨ICC根治性手术后的辅助治疗策略。分析聚焦于ICC术后管理的有效性、挑战和潜在进展,考虑到高复发率以及需要改进治疗方法以改善患者预后。此外,我们讨论了已探索的各种辅助治疗类型,包括化疗、放疗和靶向治疗。目标是全面概述当前情况,并突出未来研究的有前景方向,以提高ICC患者的生存率和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5425/11335543/7b4542abd866/fphar-15-1432603-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5425/11335543/7b4542abd866/fphar-15-1432603-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5425/11335543/7b4542abd866/fphar-15-1432603-g001.jpg

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Cancers (Basel). 2023 Oct 11;15(20):4947. doi: 10.3390/cancers15204947.
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Prognostic analysis of patients with combined hepatocellular-cholangiocarcinoma after radical resection: A retrospective multicenter cohort study.根治性切除术后肝细胞癌-胆管细胞癌混合癌患者的预后分析:一项回顾性多中心队列研究。
World J Gastroenterol. 2022 Nov 7;28(41):5968-5981. doi: 10.3748/wjg.v28.i41.5968.
3
A gene signature is critical for intrahepatic cholangiocarcinoma stem cell self-renewal and chemotherapeutic response.
基因特征对于肝内胆管癌干细胞自我更新和化疗反应至关重要。
Stem Cell Res Ther. 2022 Jul 15;13(1):292. doi: 10.1186/s13287-022-02988-9.
4
Neoadjuvant and Adjuvant Therapy in Intrahepatic Cholangiocarcinoma.肝内胆管癌的新辅助治疗和辅助治疗
J Clin Transl Hepatol. 2022 Jun 28;10(3):553-563. doi: 10.14218/JCTH.2021.00250. Epub 2022 Jan 4.
5
The focus clinical research in intrahepatic cholangiocarcinoma.肝内胆管细胞癌的重点临床研究。
Eur J Med Res. 2022 Jul 11;27(1):116. doi: 10.1186/s40001-022-00741-9.
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