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放射治疗、靶向治疗和免疫治疗与肝细胞癌复发的相关性

Correlation of radiotherapy, targeted therapy, and immunotherapy with hepatocellular carcinoma recurrence.

作者信息

Liu Qian-Jia, Zhang Jia-Cheng, Wang Yue-Fan, Zou Ming-Hao, Zhou Wen-Xuan, Lu Yan, Feng Xiao-Chen, Liu Hui

机构信息

The Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai 200082, China.

出版信息

World J Gastrointest Oncol. 2025 Jul 15;17(7):107815. doi: 10.4251/wjgo.v17.i7.107815.

Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors globally and is the most prevalent type of primary liver cancer, posing a heavy burden on global health. Surgical resection and liver transplantation are the gold standard for the radical treatment of HCC. However, due to the heterogeneity and high invasiveness of HCC, the rates of local and distant recurrence are extremely high, with over 70% of patients experiencing recurrence within 5 years after treatment, significantly impacting the long-term quality of life. Therefore, researchers are exploring other treatment methods to reduce tumor recurrence and improve patient survival. To date, extensive research has concentrated on new alternative therapies, including radiotherapy (, selective internal radiotherapy), targeted drug therapy (, sorafenib and lenvatinib), and immunotherapy (, immune checkpoint inhibitors), which have played an integral role in the comprehensive treatment of HCC. This review mainly focuses on the cutting-edge advancements in these treatment methods for HCC and their potential role in reducing HCC recurrence.

摘要

肝细胞癌(HCC)是全球最常见的恶性肿瘤之一,也是原发性肝癌最普遍的类型,给全球健康带来沉重负担。手术切除和肝移植是HCC根治性治疗的金标准。然而,由于HCC的异质性和高侵袭性,局部和远处复发率极高,超过70%的患者在治疗后5年内出现复发,严重影响长期生活质量。因此,研究人员正在探索其他治疗方法以降低肿瘤复发并提高患者生存率。迄今为止,广泛的研究集中在新的替代疗法上,包括放射治疗(如选择性内放射治疗)、靶向药物治疗(如索拉非尼和仑伐替尼)以及免疫治疗(如免疫检查点抑制剂),这些疗法在HCC的综合治疗中发挥了不可或缺的作用。本综述主要关注这些HCC治疗方法的前沿进展及其在降低HCC复发方面的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9315/12278229/17ddb9714057/wjgo-17-7-107815-g001.jpg

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