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加强全球肝细胞癌管理:弥合东西方在经动脉化疗栓塞术前使用地塞米松和N-乙酰半胱氨酸方面的观点差异。

Enhancing global hepatocellular carcinoma management: Bridging Eastern and Western perspectives on dexamethasone and N-acetylcysteine before transarterial chemoembolization.

作者信息

Luong Thang Viet, Nguyen Nam Van Duc, Le Linh Duy, Nguyen Hoang Minh Hieu, Dang Hai Nguyen Ngoc

机构信息

Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue 530000, Viet Nam.

Department of Diagnostic Imaging, University of Medicine and Pharmacy, Hue University, Hue 530000, Viet Nam.

出版信息

World J Gastroenterol. 2024 Dec 21;30(47):4983-4990. doi: 10.3748/wjg.v30.i47.4983.

DOI:10.3748/wjg.v30.i47.4983
PMID:39713158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11612863/
Abstract

This article explores the integration of Eastern and Western perspectives on the use of dexamethasone and N-acetylcysteine as premedications in transarterial chemoembolization for hepatocellular carcinoma (HCC). By examining key concerns raised by Western researchers, particularly regarding the different etiologies of liver cirrhosis, and contrasting them with robust clinical data from Asia, this article highlights the necessity for region-specific research and proposes future directions for global HCC management.

摘要

本文探讨了东西方对于地塞米松和N-乙酰半胱氨酸作为肝细胞癌(HCC)经动脉化疗栓塞术前用药的不同观点。通过审视西方研究人员提出的关键问题,尤其是关于肝硬化不同病因的问题,并将其与来自亚洲的有力临床数据进行对比,本文强调了针对特定地区进行研究的必要性,并为全球HCC管理提出了未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11612863/5d7b621aa55c/WJG-30-4983-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11612863/1369d9f5f29e/WJG-30-4983-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11612863/5d7b621aa55c/WJG-30-4983-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11612863/1369d9f5f29e/WJG-30-4983-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11612863/5d7b621aa55c/WJG-30-4983-g002.jpg

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本文引用的文献

1
Dexamethasone and N-acetylcysteine before transarterial chemoembolization in hepatocellular carcinoma: A Western perspective.地塞米松和 N-乙酰半胱氨酸在肝癌经动脉化疗栓塞术前的应用:西方观点。
World J Gastroenterol. 2024 Aug 21;30(31):3635-3639. doi: 10.3748/wjg.v30.i31.3635.
2
A study comparing the cost-effectiveness of conventional and drug-eluting transarterial chemoembolisation (cTACE and DEB-TACE) for the treatment of hepatocellular carcinoma in an Australian public hospital.一项比较传统和药物洗脱经动脉化疗栓塞术(cTACE 和 DEB-TACE)治疗澳大利亚公立医院肝细胞癌的成本效益的研究。
J Med Imaging Radiat Oncol. 2024 Sep;68(6):714-720. doi: 10.1111/1754-9485.13731. Epub 2024 Jul 10.
3
Comparative Study of the Short-Term Efficacy and Safety between DEB-TACE and C-TACE in the Treatment of Unresectable Hepatocellular Carcinoma, a Retrospective Study.
DEB-TACE 与 C-TACE 治疗不可切除肝细胞癌的短期疗效和安全性的比较研究:一项回顾性研究。
Technol Cancer Res Treat. 2024 Jan-Dec;23:15330338241250315. doi: 10.1177/15330338241250315.
4
Changing etiology and epidemiology of hepatocellular carcinoma: Asia and worldwide.肝细胞癌病因及流行病学的变化:亚洲及全球情况
J Liver Cancer. 2024 Mar;24(1):62-70. doi: 10.17998/jlc.2024.03.13. Epub 2024 Mar 25.
5
Efficacy and safety analysis of dexamethasone + palonosetron in prevention of post-embolization syndrome after D-TACE: A retrospective study.地塞米松联合帕洛诺司琼预防 D-TACE 后栓塞后综合征的疗效和安全性分析:一项回顾性研究。
Medicine (Baltimore). 2023 Oct 6;102(40):e35433. doi: 10.1097/MD.0000000000035433.
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Ann Hepatol. 2024 Jan-Feb;29(1):101153. doi: 10.1016/j.aohep.2023.101153. Epub 2023 Sep 19.
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