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阿替利珠单抗与贝伐珠单抗联合用于晚期肝细胞癌患者:安全性评估研究的必要性。

Atezolizumab and bevacizumab combination in advanced hepatocellular carcinoma patients: The imperative for safety assessment studies.

作者信息

Tharwat Mina, Tawheed Ahmed, El-Kassas Mohamed

机构信息

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.

出版信息

World J Clin Cases. 2025 Mar 26;13(9):99043. doi: 10.12998/wjcc.v13.i9.99043.

Abstract

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.

摘要

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。

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