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基于经导管动脉化疗栓塞术的中晚期原发性肝细胞癌综合治疗(综述)

Comprehensive treatment of intermediate and advanced primary hepatocellular carcinoma based on transcatheter arterial chemoembolization (Review).

作者信息

Xu Xing, Zhang Xue, Zhao Yang, Zhang Xiaoyang, Tuo Hongfang

机构信息

Department of Hepatobiliary Surgery, Hebei General Hospital, Shijiazhuang, Hebei 050057, P.R. China.

Graduate School of North China University of Science and Technology, Tangshan, Hebei 063210, P.R. China.

出版信息

Oncol Lett. 2025 May 7;30(1):332. doi: 10.3892/ol.2025.15078. eCollection 2025 Jul.

Abstract

Primary hepatocellular carcinoma (HCC) represents a malignancy of notable clinical concern, marked by elevated global incidence and mortality rates. Despite advancements in therapeutic modalities, HCC management remains challenged by the insidious onset of early-stage disease and the limited efficacy of late-stage surgical interventions. Transcatheter arterial chemoembolization (TACE) has evolved as a pivotal intervention for HCC, with recent innovations fostering synergistic combination strategies to augment therapeutic outcomes. Synthesizing contemporary clinical evidence and anticipating future advancements in TACE-based multimodal approaches is imperative to refine therapeutic paradigms and optimize patient prognoses. The present review critically evaluates the current landscape of TACE-centered multimodal therapies and explores emerging innovations poised to redefine therapeutic frontiers in HCC management.

摘要

原发性肝细胞癌(HCC)是一种具有显著临床意义的恶性肿瘤,其全球发病率和死亡率呈上升趋势。尽管治疗方式有所进步,但HCC的管理仍面临挑战,包括早期疾病隐匿起病以及晚期手术干预疗效有限。经动脉化疗栓塞术(TACE)已发展成为HCC的关键干预手段,近期的创新推动了协同联合策略的发展,以提高治疗效果。综合当代临床证据并预测基于TACE的多模式方法的未来进展,对于完善治疗模式和优化患者预后至关重要。本综述批判性地评估了以TACE为中心的多模式治疗的现状,并探索了有望重新定义HCC管理治疗前沿的新兴创新。

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Hepatocellular carcinoma.肝细胞癌
Lancet. 2022 Oct 15;400(10360):1345-1362. doi: 10.1016/S0140-6736(22)01200-4. Epub 2022 Sep 6.

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