Tharwat Mina, Tawheed Ahmed, El-Kassas Mohamed
Department of Tropical Medicine and Gastroenterology, Faculty of Medicine, Aswan University, Aswan 81528, Egypt.
Department of Endemic Medicine, Faculty of Medicine, Helwan University, Cairo 11795, Egypt.
World J Clin Cases. 2025 Mar 26;13(9):99043. doi: 10.12998/wjcc.v13.i9.99043.
Hepatocellular carcinoma (HCC) is the most prevalent cancer of the hepatobiliary tract and the third leading cause of cancer-related mortality worldwide. Atezolizumab and bevacizumab combination is currently considered among the front-line treatment modalities for advanced unresectable HCC. Most studies examining this combination were focused on evaluating its effectiveness. Despite numerous case reports documenting some side effects, there is a limited number of large-scale studies assessing these side effects. In this article, we comment on the case report by Park published recently, reporting a fatal intra-tumoral hemorrhage in a patient with HCC who received systemic therapy in the form of the combination of atezolizumab and bevacizumab.
肝细胞癌(HCC)是肝胆系统最常见的癌症,也是全球癌症相关死亡的第三大主要原因。阿替利珠单抗和贝伐单抗联合用药目前被认为是晚期不可切除HCC的一线治疗方案之一。大多数研究这种联合用药的研究都集中在评估其有效性上。尽管有大量病例报告记录了一些副作用,但评估这些副作用的大规模研究数量有限。在本文中,我们对Park最近发表的病例报告进行评论,该报告报道了一名接受阿替利珠单抗和贝伐单抗联合全身治疗的HCC患者发生致命的肿瘤内出血。