Liver-directed regional therapy in the multi-disciplinary management of hepatocellular cancer

Maheswari Senthil, Brian Mailey, Lucille Leong, Vincent Chung, Yun Yen, Yi Jen Chen, Howard Marx, Joseph Kim

研究成果: 雜誌貢獻回顧型文獻

6 引文 斯高帕斯(Scopus)

摘要

Hepatocellular carcinoma (HCC) is a major worldwide health concern with an increasing incidence in the United States. Orthotopic liver transplantation (OLT) has been established as the gold standard for curative therapy of HCC. Because of limited organ supply and socioeconomic factors, OLT is often not a viable option. Surgical resection and ablation are also effective for providing long-term survival. However, most patients are ineligible for curative surgical therapy due to advanced disease. For these patients, effective treatment options have been lacking. Systemic chemotherapy and even recent biologic, targeted agents have shown little to minimal efficacy. Liver-directed regional therapies, including trans-arterial chemoembolization (TACE) and selective internal radiation treatment (SIRT) with Yttrium-90 radioembolization have emerged in recent years as effective therapies to provide local control of disease. Randomized trials have demonstrated a survival benefit for TACE, and SIRT has shown efficacy as an embolic alternative to TACE. Here we review the experience of liver-directed regional therapies and provide a clear rationale for their implementation in a multi-disciplinary algorithmic approach to the management of HCC.

原文英語
頁(從 - 到)19-25
頁數7
期刊Current Cancer Therapy Reviews
6
發行號1
DOIs
出版狀態已發佈 - 二月 2010
對外發佈Yes

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Molecular Medicine

指紋 深入研究「Liver-directed regional therapy in the multi-disciplinary management of hepatocellular cancer」主題。共同形成了獨特的指紋。

  • 引用此