Intermediate hepatocellular carcinoma: current treatments and future perspectives

Dufour, Jean-François; Bargellini, I.; De Maria, N.; De Simone, P.; Goulis, I.; Marinho, R. T. (2013). Intermediate hepatocellular carcinoma: current treatments and future perspectives. Annals of oncology, 24(Suppl. 2), ii24-ii29. Oxford University Press 10.1093/annonc/mdt054

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Current guidelines recommend transarterial chemoembolization (TACE) as the standard treatment of Barcelona-Clinic Liver Cancer (BCLC)-B patients. However, the long-term survival outcomes of patients managed with this technique do not appear fully satisfactory; in addition, intermediate-stage hepatocellular carcinoma (HCC) includes a heterogeneous population of patients with varying tumour burdens, liver function and disease aetiology. Therefore, not all patients with intermediate-stage HCC may derive similar benefit from TACE, and some patients may benefit from other treatment options, which are currently approved or being explored. These include different TACE modalities, such as selective TACE or drug-eluting beads TACE and radioembolization. The introduction of sorafenib in the therapeutic armamentarium for HCC has provided a new therapeutic option for the treatment of BCLC-B patients who are unsuitable to TACE or in whom TACE resulted in unacceptable toxicity. In addition, clinical trials aimed at investigating the potential role of this molecule in the treatment of patients with intermediate-stage HCC within combination therapeutic regimens are ongoing. This narrative review will present and discuss the most recent evidence on the locoregional or medical treatment with sorafenib in patients with intermediate-stage HCC.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Hepatology

UniBE Contributor:

Dufour, Jean-François

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0923-7534

Publisher:

Oxford University Press

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

17 Jun 2014 10:26

Last Modified:

27 Apr 2018 10:52

Publisher DOI:

10.1093/annonc/mdt054

PubMed ID:

23715940

Uncontrolled Keywords:

SIRT, TACE, adverse events, chemoembolization, locoregional, sorafenib, systemic targeted therapy

BORIS DOI:

10.7892/boris.53735

URI:

https://boris.unibe.ch/id/eprint/53735

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