Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospects

Curative surgical treatments, mainly liver resection, are still one of the optimal options for patients with early-, mid-, and even progression-stage hepatocellular carcinoma (HCC). However, the recurrence rate within 5 years after surgery is as high as 70%, especially in patients with high risk fac...

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Main Authors: Bin Guo, Qian Chen, Zhicheng Liu, Xiaoping Chen, Peng Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1098958/full
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author Bin Guo
Qian Chen
Qian Chen
Zhicheng Liu
Xiaoping Chen
Peng Zhu
author_facet Bin Guo
Qian Chen
Qian Chen
Zhicheng Liu
Xiaoping Chen
Peng Zhu
author_sort Bin Guo
collection DOAJ
description Curative surgical treatments, mainly liver resection, are still one of the optimal options for patients with early-, mid-, and even progression-stage hepatocellular carcinoma (HCC). However, the recurrence rate within 5 years after surgery is as high as 70%, especially in patients with high risk factors for recurrence, most of whom experience early recurrence within 2 years. Effective adjuvant therapy may improve prognosis, previous studies found that adjuvant transarterial chemoembolization, antiviral, and traditional Chinese medicine et al. were helpful in preventing HCC recurrence. Nevertheless, due to controversial results or lack of high-level evidence, there is no standardized postoperative management protocol worldwide at present. Continued exploration of effective postoperative adjuvant treatments to improve surgical prognosis is necessary.
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spelling doaj.art-9b0080192398416991d1dd0eb18ab9cc2023-04-17T05:44:58ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-04-011310.3389/fonc.2023.10989581098958Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospectsBin Guo0Qian Chen1Qian Chen2Zhicheng Liu3Xiaoping Chen4Peng Zhu5Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaHepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaHepatobiliary Surgery Department, The First Affiliated Hospital of Shihezi University, Shihezi, Xinjiang, ChinaHepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaHepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaHepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaCurative surgical treatments, mainly liver resection, are still one of the optimal options for patients with early-, mid-, and even progression-stage hepatocellular carcinoma (HCC). However, the recurrence rate within 5 years after surgery is as high as 70%, especially in patients with high risk factors for recurrence, most of whom experience early recurrence within 2 years. Effective adjuvant therapy may improve prognosis, previous studies found that adjuvant transarterial chemoembolization, antiviral, and traditional Chinese medicine et al. were helpful in preventing HCC recurrence. Nevertheless, due to controversial results or lack of high-level evidence, there is no standardized postoperative management protocol worldwide at present. Continued exploration of effective postoperative adjuvant treatments to improve surgical prognosis is necessary.https://www.frontiersin.org/articles/10.3389/fonc.2023.1098958/fullhepatocellular carcinomacurative surgerytumor recurrencedisease-free survivaladjuvant therapy
spellingShingle Bin Guo
Qian Chen
Qian Chen
Zhicheng Liu
Xiaoping Chen
Peng Zhu
Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospects
Frontiers in Oncology
hepatocellular carcinoma
curative surgery
tumor recurrence
disease-free survival
adjuvant therapy
title Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospects
title_full Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospects
title_fullStr Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospects
title_full_unstemmed Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospects
title_short Adjuvant therapy following curative treatments for hepatocellular carcinoma: current dilemmas and prospects
title_sort adjuvant therapy following curative treatments for hepatocellular carcinoma current dilemmas and prospects
topic hepatocellular carcinoma
curative surgery
tumor recurrence
disease-free survival
adjuvant therapy
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1098958/full
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