Minimally invasive local therapies for liver cancer

Primary and metastatic liver tumors are an increasing global health problem, with hepatocellular carcinoma (HCC) now being the third leading cause of cancer-related mortality worldwide. Systemic treatment options for HCC remain limited, with Sorafenib as the only prospectively validated agent shown...

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Main Authors: David Li, Josephine Kang, Benjamin J. Golas, Vincent W. Yeung, David C. Madoff
Format: Article
Language:English
Published: China Anti-Cancer Association 2014-12-01
Series:Cancer Biology & Medicine
Subjects:
Online Access:http://www.cancerbiomed.org/index.php/cocr/article/view/820
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author David Li
Josephine Kang
Benjamin J. Golas
Vincent W. Yeung
David C. Madoff
author_facet David Li
Josephine Kang
Benjamin J. Golas
Vincent W. Yeung
David C. Madoff
author_sort David Li
collection DOAJ
description Primary and metastatic liver tumors are an increasing global health problem, with hepatocellular carcinoma (HCC) now being the third leading cause of cancer-related mortality worldwide. Systemic treatment options for HCC remain limited, with Sorafenib as the only prospectively validated agent shown to increase overall survival. Surgical resection and/or transplantation, locally ablative therapies and regional or locoregional therapies have filled the gap in liver tumor treatments, providing improved survival outcomes for both primary and metastatic tumors. Minimally invasive local therapies have an increasing role in the treatment of both primary and metastatic liver tumors. For patients with low volume disease, these therapies have now been established into consensus practice guidelines. This review highlights technical aspects and outcomes of commonly utilized, minimally invasive local therapies including laparoscopic liver resection (LLR), radiofrequency ablation (RFA), microwave ablation (MWA), high-intensity focused ultrasound (HIFU), irreversible electroporation (IRE), and stereotactic body radiation therapy (SBRT). In addition, the role of combination treatment strategies utilizing these minimally invasive techniques is reviewed.
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spelling doaj.art-d1aff3db97a844a1b1390d3509aae0a62022-12-21T23:33:29ZengChina Anti-Cancer AssociationCancer Biology & Medicine2095-39412095-39412014-12-0111421723610.7497/j.issn.2095-3941.2014.04.0012014040001Minimally invasive local therapies for liver cancerDavid Li0Josephine Kang1Benjamin J. Golas2Vincent W. Yeung3David C. Madoff4Department of Radiology, Division of Interventional Radiology, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY 10065, USA;Department of Medicine, NYU Langone Medical Center, New York, NY 10016, USA;Department of Surgery, Division of Surgical Oncology, New York-Presbyterian Hospital/Weill Cornell Medical Center New York, New York, NY 10065, USAFlushing Radiation Oncology Services, Flushing, New York, NY 11354, USA;Department of Radiology, Division of Interventional Radiology, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY 10065, USA;Primary and metastatic liver tumors are an increasing global health problem, with hepatocellular carcinoma (HCC) now being the third leading cause of cancer-related mortality worldwide. Systemic treatment options for HCC remain limited, with Sorafenib as the only prospectively validated agent shown to increase overall survival. Surgical resection and/or transplantation, locally ablative therapies and regional or locoregional therapies have filled the gap in liver tumor treatments, providing improved survival outcomes for both primary and metastatic tumors. Minimally invasive local therapies have an increasing role in the treatment of both primary and metastatic liver tumors. For patients with low volume disease, these therapies have now been established into consensus practice guidelines. This review highlights technical aspects and outcomes of commonly utilized, minimally invasive local therapies including laparoscopic liver resection (LLR), radiofrequency ablation (RFA), microwave ablation (MWA), high-intensity focused ultrasound (HIFU), irreversible electroporation (IRE), and stereotactic body radiation therapy (SBRT). In addition, the role of combination treatment strategies utilizing these minimally invasive techniques is reviewed.http://www.cancerbiomed.org/index.php/cocr/article/view/820Liverhepatocellular carcinoma (HCC)metastasis
spellingShingle David Li
Josephine Kang
Benjamin J. Golas
Vincent W. Yeung
David C. Madoff
Minimally invasive local therapies for liver cancer
Cancer Biology & Medicine
Liver
hepatocellular carcinoma (HCC)
metastasis
title Minimally invasive local therapies for liver cancer
title_full Minimally invasive local therapies for liver cancer
title_fullStr Minimally invasive local therapies for liver cancer
title_full_unstemmed Minimally invasive local therapies for liver cancer
title_short Minimally invasive local therapies for liver cancer
title_sort minimally invasive local therapies for liver cancer
topic Liver
hepatocellular carcinoma (HCC)
metastasis
url http://www.cancerbiomed.org/index.php/cocr/article/view/820
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AT vincentwyeung minimallyinvasivelocaltherapiesforlivercancer
AT davidcmadoff minimallyinvasivelocaltherapiesforlivercancer