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新版巴塞罗那临床肝癌分期系统:经动脉化疗栓塞的作用及对介入放射科医生的要求

The New Updated Barcelona Clinic Liver Cancer Staging System: Roles of Trans-arterial Chemoembolization and Homework to Interventional Radiologists.

作者信息

Yamakado Koichiro, Takaki Haruyuki

机构信息

Department of Radiology, Hyogo Medical University, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2023 Aug 11;10:e20220035. doi: 10.22575/interventionalradiology.2022-0035. eCollection 2025 Mar 28.


DOI:10.22575/interventionalradiology.2022-0035
PMID:40384895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12078026/
Abstract

Barcelona Clinic Liver Cancer staging system, which has been identified as the most commonly used staging system in patients with hepatocellular carcinoma, was initially published in 1999, and it was updated in 2022. This new Barcelona Clinic Liver Cancer staging shows more flexible strategies for the treatment of hepatocellular carcinoma based on each stage. Although the roles of trans-arterial chemoembolization were limited in intermediate stage (Barcelona Clinic Liver Cancer-B) patients in the previous version, its roles have been expanded in the new version of Barcelona Clinic Liver Cancer staging system. In this manuscript, we introduce how trans-arterial chemoembolization is incorporated in a new Barcelona Clinic Liver Cancer staging system and explore the new role of trans-arterial chemoembolization and what interventional radiologists seek for in a near future.

摘要

巴塞罗那临床肝癌分期系统于1999年首次发布,2022年进行了更新,已被确定为肝细胞癌患者中最常用的分期系统。这种新的巴塞罗那临床肝癌分期展示了基于各阶段的更灵活的肝细胞癌治疗策略。尽管在先前版本中,经动脉化疗栓塞术在中期(巴塞罗那临床肝癌-B期)患者中的作用有限,但在新版巴塞罗那临床肝癌分期系统中其作用已得到扩展。在本手稿中,我们介绍经动脉化疗栓塞术如何被纳入新的巴塞罗那临床肝癌分期系统,并探讨经动脉化疗栓塞术的新作用以及介入放射科医生在不久的将来所追求的目标。

相似文献

[1]
The New Updated Barcelona Clinic Liver Cancer Staging System: Roles of Trans-arterial Chemoembolization and Homework to Interventional Radiologists.

Interv Radiol (Higashimatsuyama). 2023-8-11

[2]
Clinical appraisal of the recently proposed Barcelona Clinic Liver Cancer stage B subclassification by survival analysis.

J Gastroenterol Hepatol. 2014-4

[3]
A new substage classification strategy for Barcelona Clinic Liver Cancer stage B patients with hepatocellular carcinoma.

J Gastroenterol Hepatol. 2019-5-14

[4]
Three effective cases of transcatheter arterial embolization after atezolizumab and bevacizumab treatment for hepatocellular carcinoma: a case report.

J Med Case Rep. 2025-1-27

[5]
Treatment strategies of intermediate-stage hepatocellular carcinomas in Japan (Barcelona Clinic Liver Cancer stage B).

Oncology. 2014-11-22

[6]
Transarterial chemoembolization in hepatocellular carcinoma treatment: Barcelona clinic liver cancer staging system.

World J Gastroenterol. 2015-9-28

[7]
Transcatheter Arterial Chemoembolization With or Without Radiofrequency Ablation: Outcomes in Patients With Barcelona Clinic Liver Cancer Stage B Hepatocellular Carcinoma.

AJR Am J Roentgenol. 2018-2-7

[8]
Liver resection for intermediate hepatocellular carcinoma.

World J Hepatol. 2016-5-18

[9]
Recommendations for the use of chemoembolization in patients with hepatocellular carcinoma: Usefulness of scoring system?

World J Hepatol. 2015-3-27

[10]
New intermediate-stage subclassification for patients with hepatocellular carcinoma treated with transarterial chemoembolization.

Liver Int. 2017-6-26

本文引用的文献

[1]
Efficacy of Superselective Conventional Transarterial Chemoembolization Using Guidance Software for Hepatocellular Carcinoma within Three Lesions Smaller Than 3 cm.

Cancers (Basel). 2021-12-19

[2]
BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update.

J Hepatol. 2022-3

[3]
Liver Transplantation for Hepatocellular Carcinoma. Working Group Report from the ILTS Transplant Oncology Consensus Conference.

Transplantation. 2020-6

[4]
Efficacy of combined bland embolization and chemoembolization for huge (≥10 cm) hepatocellular carcinoma.

Minim Invasive Ther Allied Technol. 2021-8

[5]
Impact of combined selective internal radiation therapy and sorafenib on survival in advanced hepatocellular carcinoma.

J Hepatol. 2019-12

[6]
Outcomes of conventional transarterial chemoembolization for hepatocellular carcinoma ≥10 cm.

Hepatol Res. 2019-7

[7]
Updated use of TACE for hepatocellular carcinoma treatment: How and when to use it based on clinical evidence.

Cancer Treat Rev. 2018-11-12

[8]
Multicenter Phase II Clinical Trial of Sorafenib Combined with Transarterial Chemoembolization for Advanced Stage Hepatocellular Carcinomas (Barcelona Clinic Liver Cancer Stage C): STAB Study.

J Vasc Interv Radiol. 2018-8

[9]
SIRveNIB: Selective Internal Radiation Therapy Versus Sorafenib in Asia-Pacific Patients With Hepatocellular Carcinoma.

J Clin Oncol. 2018-3-2

[10]
New intermediate-stage subclassification for patients with hepatocellular carcinoma treated with transarterial chemoembolization.

Liver Int. 2017-6-26

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