Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is the most common primary liver cancer, representing the third-leading cause of cancer-related deaths worldwide. Curative intent treatment options for patients with HCC include liver transplantation, resection and ablation of small lesions. Other potentially curative...

Full description

Bibliographic Details
Main Authors: Perla Chami, William Jarnagin, Ghassan K. Abou-Alfa, James Harding, Neal Kim, Haibo Lin, Maria El Homsi, Christopher Crane, Carla Hajj
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/6/1748
_version_ 1797612984948752384
author Perla Chami
William Jarnagin
Ghassan K. Abou-Alfa
James Harding
Neal Kim
Haibo Lin
Maria El Homsi
Christopher Crane
Carla Hajj
author_facet Perla Chami
William Jarnagin
Ghassan K. Abou-Alfa
James Harding
Neal Kim
Haibo Lin
Maria El Homsi
Christopher Crane
Carla Hajj
author_sort Perla Chami
collection DOAJ
description Hepatocellular carcinoma (HCC) is the most common primary liver cancer, representing the third-leading cause of cancer-related deaths worldwide. Curative intent treatment options for patients with HCC include liver transplantation, resection and ablation of small lesions. Other potentially curative therapies include cryoablation, microwave ablation and percutaneous alcohol injection. For locally advanced disease, different arterially directed therapies including transarterial chemoembolization and selective internal radiation therapy, plus external beam radiation including three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic body radiation therapy and proton beam therapy, are available or studied. Systemic therapies based on checkpoint inhibitors and tyrosine kinase inhibitors are available for the management of metastatic HCC and sometimes for locally advanced disease. Combinations of locoregional therapies with systemic drugs are currently the subject of several clinical trials.
first_indexed 2024-03-11T06:48:35Z
format Article
id doaj.art-59c050af4ef849db840752412d1117f0
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-11T06:48:35Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-59c050af4ef849db840752412d1117f02023-11-17T10:06:39ZengMDPI AGCancers2072-66942023-03-01156174810.3390/cancers15061748Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular CarcinomaPerla Chami0William Jarnagin1Ghassan K. Abou-Alfa2James Harding3Neal Kim4Haibo Lin5Maria El Homsi6Christopher Crane7Carla Hajj8Department of Biology, Faculty of Arts and Sciences, American University of Beirut, Beirut 1107, LebanonMemorial Sloan Kettering Cancer Center, New York, NY 10027, USAMemorial Sloan Kettering Cancer Center, New York, NY 10027, USAMemorial Sloan Kettering Cancer Center, New York, NY 10027, USAMemorial Sloan Kettering Cancer Center, New York, NY 10027, USANew York Proton Center, New York, NY 10035, USAMemorial Sloan Kettering Cancer Center, New York, NY 10027, USAMemorial Sloan Kettering Cancer Center, New York, NY 10027, USAMemorial Sloan Kettering Cancer Center, New York, NY 10027, USAHepatocellular carcinoma (HCC) is the most common primary liver cancer, representing the third-leading cause of cancer-related deaths worldwide. Curative intent treatment options for patients with HCC include liver transplantation, resection and ablation of small lesions. Other potentially curative therapies include cryoablation, microwave ablation and percutaneous alcohol injection. For locally advanced disease, different arterially directed therapies including transarterial chemoembolization and selective internal radiation therapy, plus external beam radiation including three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic body radiation therapy and proton beam therapy, are available or studied. Systemic therapies based on checkpoint inhibitors and tyrosine kinase inhibitors are available for the management of metastatic HCC and sometimes for locally advanced disease. Combinations of locoregional therapies with systemic drugs are currently the subject of several clinical trials.https://www.mdpi.com/2072-6694/15/6/1748hepatocellular carcinomacombination therapyablationinterventional radiologyablative radiation therapychemoembolization
spellingShingle Perla Chami
William Jarnagin
Ghassan K. Abou-Alfa
James Harding
Neal Kim
Haibo Lin
Maria El Homsi
Christopher Crane
Carla Hajj
Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular Carcinoma
Cancers
hepatocellular carcinoma
combination therapy
ablation
interventional radiology
ablative radiation therapy
chemoembolization
title Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular Carcinoma
title_full Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular Carcinoma
title_fullStr Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular Carcinoma
title_full_unstemmed Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular Carcinoma
title_short Non-Surgical Locoregional Therapies Alone or in Combination with Systemic Therapy in Patients with Hepatocellular Carcinoma
title_sort non surgical locoregional therapies alone or in combination with systemic therapy in patients with hepatocellular carcinoma
topic hepatocellular carcinoma
combination therapy
ablation
interventional radiology
ablative radiation therapy
chemoembolization
url https://www.mdpi.com/2072-6694/15/6/1748
work_keys_str_mv AT perlachami nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT williamjarnagin nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT ghassankaboualfa nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT jamesharding nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT nealkim nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT haibolin nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT mariaelhomsi nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT christophercrane nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma
AT carlahajj nonsurgicallocoregionaltherapiesaloneorincombinationwithsystemictherapyinpatientswithhepatocellularcarcinoma