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肝细胞癌的当前治疗方法

Current Treatment Methods in Hepatocellular Carcinoma.

作者信息

Krupa Kamila, Fudalej Marta, Cencelewicz-Lesikow Anna, Badowska-Kozakiewicz Anna, Czerw Aleksandra, Deptała Andrzej

机构信息

Students' Scientific Organization of Cancer Cell Biology, Department of Oncological Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.

Department of Oncological Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.

出版信息

Cancers (Basel). 2024 Dec 4;16(23):4059. doi: 10.3390/cancers16234059.

Abstract

Hepatocellular carcinoma (HCC) is a prevalent malignant tumour worldwide. Depending on the stage of the tumour and liver function, a variety of treatment options are indicated. Traditional radiotherapy and chemotherapy are ineffective against HCC; however, the U.S. Food and Drug Administration (FDA) has approved radiofrequency ablation (RFA), surgical resection, and transarterial chemoembolization (TACE) for advanced HCC. On the other hand, liver transplantation is recommended in the early stages of the disease. Tyrosine kinase inhibitors (TKIs) like lenvatinib and sorafenib, immunotherapy and anti-angiogenesis therapy, including pembrolizumab, bevacizumab, tremelimumab, durvalumab, camrelizumab, and atezolizumab, are other treatment options for advanced HCC. Moreover, to maximize outcomes for patients with HCC, the combination of immune checkpoint inhibitors (ICIs) along with targeted therapies or local ablative therapy is being investigated. This review elaborates on the current status of HCC treatment, outlining the most recent clinical study results and novel approaches.

摘要

肝细胞癌(HCC)是全球一种常见的恶性肿瘤。根据肿瘤分期和肝功能情况,有多种治疗方案可供选择。传统放疗和化疗对HCC无效;然而,美国食品药品监督管理局(FDA)已批准将射频消融(RFA)、手术切除和经动脉化疗栓塞(TACE)用于晚期HCC。另一方面,在疾病早期推荐进行肝移植。乐伐替尼和索拉非尼等酪氨酸激酶抑制剂(TKIs)、免疫疗法以及抗血管生成疗法,包括帕博利珠单抗、贝伐单抗、曲美木单抗、度伐利尤单抗、卡瑞利珠单抗和阿替利珠单抗,是晚期HCC的其他治疗选择。此外,为了使HCC患者的治疗效果最大化,正在研究免疫检查点抑制剂(ICIs)与靶向疗法或局部消融疗法的联合应用。本综述阐述了HCC治疗的现状,概述了最新的临床研究结果和新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7c/11640602/4dca7bcc2feb/cancers-16-04059-g001.jpg

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