4.6 Article

2022 KLCA-NCC Korea Practice Guidelines for the Management of Hepatocellular Carcinoma

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Shousheng Liu et al.

Summary: HBV reactivation is more likely to occur in HBsAg-positive HCC patients undergoing HAIC without antiviral prophylaxis. Regular monitoring of HBV DNA and antiviral prophylaxis are suggested to prevent HBV reactivation and prolong the overall survival of these patients.

FRONTIERS IN ONCOLOGY (2021)

Article Oncology

Efficacy of Local Therapy for Oligometastatic Hepatocellular Carcinoma: A Propensity Score Matched Analysis

Kangpyo Kim et al.

Summary: This study found that local therapy for oligometastatic lesions in patients with hepatocellular carcinoma can significantly improve survival rates and progression-free survival rates. Factors such as lower alpha-fetoprotein levels and the use of local therapy were identified as significant favorable prognostic factors.

JOURNAL OF HEPATOCELLULAR CARCINOMA (2021)

Review Surgery

Anatomic versus non-anatomic resection of hepatocellular carcinoma with microvascular invasion: A systematic review and meta-analysis

Zhen Sun et al.

Summary: Anatomical resection (AR) showed higher overall survival (OS) and disease-free survival (DFS) rates compared to non-anatomical resection (NR) in hepatocellular carcinoma (HCC) patients with microvascular invasion (MVI). Therefore, AR is recommended for well-presented liver function HCC patients predicted to have positive MVI.

ASIAN JOURNAL OF SURGERY (2021)

Article Medicine, General & Internal

The efficacies of entecavir and tenofovir in terms of enhancing prognosis after curative treatment of hepatitis B virus-related hepatocellular carcinoma

Ji Hyun Lee et al.

Summary: The prognoses in terms of recurrence and death after curative treatment of HBV-related HCC were not statistically different between the ETV and TDF groups. Further validation studies are needed.

EUROPEAN JOURNAL OF INTERNAL MEDICINE (2021)

Article Gastroenterology & Hepatology

Yttrium-90 Radioembolization for the Treatment of Solitary, Unresectable HCC: The LEGACY Study

Riad Salem et al.

Summary: The LEGACY study evaluated the efficacy of yttrium-90 glass microspheres in treating solitary, unresectable HCC <= 8 cm, showing promising response rates and durable responses in a multicenter setting.

HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Association of Metabolic Risk Factors With Risks of Cancer and All-Cause Mortality in Patients With Chronic Hepatitis B

Yun Bin Lee et al.

Summary: Long-term antiviral therapy cannot eliminate the risk of liver cancer in patients with chronic hepatitis B. The burden of metabolic risk factors is positively associated with an increased risk of developing HCC, non-HCC cancer, and all-cause mortality in these patients, with those having >= 3 metabolic risk factors showing higher risks.

HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Lenvatinib in combination with transarterial chemoembolization for treatment of unresectable hepatocellular carcinoma (uHCC): a retrospective controlled study

Zhigang Fu et al.

Summary: Combination treatment with TACE and lenvatinib shows significant improvement in clinical outcomes for unresectable HCC patients with manageable safety profile. The efficacy of this combination treatment should be further validated in prospective studies with larger sample size.

HEPATOLOGY INTERNATIONAL (2021)

Article Oncology

A Phase 2 Study of Image-Guided Proton Therapy for Operable or Ablation-Treatable Primary Hepatocellular Carcinoma

Hiromitsu Iwata et al.

Summary: This study aimed to evaluate the outcome of image-guided proton therapy (IGPT) for operable or radiofrequency ablation-treatable primary hepatocellular carcinoma (HCC). Results showed high overall survival and local control rates among patients who received IGPT, with minimal changes in quality of life (QoL) scores after 1 year of treatment.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2021)

Article Oncology

Cost-Effectiveness of Adjuvant Immunotherapy With Cytokine-Induced Killer Cell for Hepatocellular Carcinoma Based on a Randomized Controlled Trial and Real-World Data

Jeong-Yeon Cho et al.

Summary: Research has shown that adjuvant CIK cell immunotherapy is more cost-effective than no adjuvant therapy for patients with hepatocellular carcinoma (HCC) who have undergone potentially curative treatment, attributed to prolonged survival, reduced HCC recurrence, and improved prognosis of recurrence.

FRONTIERS IN ONCOLOGY (2021)

Article Oncology

Hepatic Resection Versus Transarterial Chemoembolization for Intermediate-Stage Hepatocellular Carcinoma: A Cohort Study

Linbin Lu et al.

Summary: This study analyzed the overall survival of patients with intermediate-stage HCC undergoing hepatic resection (HR) or transarterial chemoembolization (TACE). The results showed that HR was associated with improved overall survival, especially in patients with LDH levels higher than 192 U/L. Conversely, TACE may be more suitable for patients with LDH levels lower than or equal to 192 U/L.

FRONTIERS IN ONCOLOGY (2021)

Letter Gastroenterology & Hepatology

Autoimmune hepatitis developing after coronavirus disease 2019 (COVID-19) vaccine: Causality or casualty?

Fernando Bril et al.

JOURNAL OF HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Systemic treatment of HCC in special populations

Lorenza Rimassa et al.

Summary: Recent years have witnessed significant progress in the systemic treatment of hepatocellular carcinoma (HCC), but there is a lack of high-quality evidence for patients with various comorbidities. Future clinical trials should be designed to specifically include patients with comorbidities to improve the safety and efficacy of HCC treatment in these subgroups.

JOURNAL OF HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Prognosis of French COVID-19 patients with chronic liver disease: A national retrospective cohort study for 2020

Vincent Mallet et al.

Summary: Chronic liver disease was found to increase the risk of COVID-19-related death in France in 2020. Therapeutic effort limitation may have contributed to the excess mortality in French residents with a liver-related complication or an alcohol use disorder.

JOURNAL OF HEPATOLOGY (2021)

Article Medicine, General & Internal

Outcome of Initial Progression During Nivolumab Treatment for Hepatocellular Carcinoma: Should We Use iRECIST?

Dong Ho Lee et al.

Summary: The study evaluated the frequency of pseudoprogression in hepatocellular carcinoma patients undergoing nivolumab treatment in Korea, finding a low possibility of pseudoprogression and suggesting that iRECIST may not be necessary for HCC.

FRONTIERS IN MEDICINE (2021)

Article Multidisciplinary Sciences

NASH limits anti-tumour surveillance in immunotherapy-treated HCC

Dominik Pfister et al.

Summary: The study investigated the impact of NASH on immunotherapy response in HCC patients and found that NASH-HCC may be less responsive to immunotherapy. Aberrant T cell activation caused by NASH-related tissue damage led to impaired immune surveillance in HCC patients.

NATURE (2021)

Article Oncology

Stereotactic body radiation therapy versus radiofrequency ablation for single small hepatocellular carcinoma: a propensity-score matching analysis of their impact on liver function and clinical outcomes

Masayuki Ueno et al.

Summary: In this study, changes in liver function and prognosis after SBRT or RFA in patients with single, small HCC were compared. The results showed that SBRT had a modestly negative impact on liver function but provided considerable local control of HCC.

JOURNAL OF GASTROINTESTINAL ONCOLOGY (2021)

Article Surgery

A comparative study of postoperative outcomes between minimally invasive living donor hepatectomy and open living donor hepatectomy: The Korean organ transplantation registry

Jae Do Yang et al.

Summary: This study evaluated the safety and effectiveness of minimally invasive living donor hepatectomy in comparison with the open procedure. The results showed differences in complication rates and types between the two groups, with shorter hospitalization time in the minimally invasive group. To improve the feasibility of minimally invasive surgery, better surgical safety measures need to be ensured.

SURGERY (2021)

Article Gastroenterology & Hepatology

Goal-directed fluid therapy vs. low central venous pressure during major open liver resections (GALILEO): a surgeon- and patient-blinded randomized controlled trial

Iris M. Jongerius et al.

Summary: This study compared low central venous pressure (low-CVP) and goal-directed fluid therapy (GDFT) during major liver resections, finding no significant differences in intraoperative blood loss, major morbidity, or quality of the surgical field between the two strategies. Larger randomized controlled trials are needed to confirm these findings.
Review Oncology

Management of Hepatocellular Carcinoma in Japan: JSH Consensus Statements and Recommendations 2021 Update

Masatoshi Kudo et al.

Summary: The Clinical Practice Manual for Hepatocellular Carcinoma is based on evidence and expert consensus, focusing on pathology, diagnosis, and treatment. Different from the JSH Clinical Practice Guidelines, this manual emphasizes practicality and is written by a panel of experts from the JSH.

LIVER CANCER (2021)

Article Oncology

Posttreatment after Lenvatinib in Patients with Advanced Hepatocellular Carcinoma

Keisuke Koroki et al.

Summary: The study investigated migration rates to posttreatment after lenvatinib therapy failure in patients with advanced HCC. Response to lenvatinib and discontinuation due to radiological progression, as well as male gender, were associated with higher chances of migrating to posttreatment. Sorafenib may not be suitable as a posttreatment agent, while regorafenib shows potential as a second-line therapy after lenvatinib.

LIVER CANCER (2021)

Article Oncology

Comparison of Surgical Resection and Systemic Treatment for Hepatocellular Carcinoma with Vascular Invasion: National Cancer Database Analysis

Rajalakshmi Govalan et al.

Summary: The study suggests that surgical resection may provide better outcomes compared to systemic therapy for HCC patients with vascular invasion. Factors such as ethnicity, clinical characteristics, and treating facility type and region were associated with the likelihood of receiving surgical resection.

LIVER CANCER (2021)

Article Radiology, Nuclear Medicine & Medical Imaging

Percutaneous microwave ablation versus radiofrequency ablation of hepatocellular carcinoma: a meta-analysis of randomized controlled trials

Qian Yu et al.

Summary: A meta-analysis comparing the safety and efficacy of microwave ablation (MWA) and radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) in very early and early-stage patients found no significant differences in complete ablation rate, overall survival, recurrence-free survival, or complication rates between the two treatments. However, MWA was associated with a significantly shorter ablation time compared to RFA.

ABDOMINAL RADIOLOGY (2021)

Article Oncology

Safety of PD-1/PD-L1 Inhibitors Combined With Palliative Radiotherapy and Anti-Angiogenic Therapy in Advanced Hepatocellular Carcinoma

Liting Zhong et al.

Summary: The combination of PD-1/PD-L1 inhibitors with palliative radiotherapy and anti-angiogenic therapy appears to be safe and effective in treating hepatocellular carcinoma, with a significant impact on patient survival. Further studies are needed to explore the clinical benefits of this triple therapy approach.

FRONTIERS IN ONCOLOGY (2021)

Article Oncology

Efficacy of Stereotactic Body Radiotherapy in Patients With Hepatocellular Carcinoma Not Suitable for Transarterial Chemoembolization (HERACLES: HEpatocellular Carcinoma Stereotactic RAdiotherapy CLinical Efficacy Study)

Thomas B. Brunner et al.

Summary: The study findings indicate that SBRT is an effective and well-tolerated local treatment for patients with hepatocellular carcinoma, providing high rates of local control and maintaining quality of life for patients.

FRONTIERS IN ONCOLOGY (2021)

Article Gastroenterology & Hepatology

Apatinib as second-line or later therapy in patients with advanced hepatocellular carcinoma (AHELP): a multicentre, double-blind, randomised, placebo-controlled, phase 3 trial

Shukui Qin et al.

Summary: This study demonstrates that apatinib significantly improved overall survival in patients with pretreated advanced hepatocellular carcinoma compared with placebo, with a manageable safety profile.

LANCET GASTROENTEROLOGY & HEPATOLOGY (2021)

Review Gastroenterology & Hepatology

Systematic review with meta-analysis: The effects of non-steroidal anti-inflammatory drugs and anti-platelet therapy on the incidence and recurrence of hepatocellular carcinoma

Regina Zi Hwei Tan et al.

Summary: The use of aspirin is supported in at-risk individuals to reduce the incidence of HCC and liver-related mortality, while NSAID treatment was associated with lower HCC recurrence following treatment.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2021)

Article Oncology

Preoperative Estimated Risk of Microvascular Invasion is Associated with Prognostic Differences Following Liver Resection Versus Radiofrequency Ablation for Early Hepatitis B Virus-Related Hepatocellular Carcinoma

Shilei Bai et al.

Summary: The study aimed to compare prognosis between liver resection (LR) and percutaneous radiofrequency ablation (PRFA) for hepatocellular carcinoma (HCC) based on preoperative predicted microvascular invasion (MVI) risk. LR was found to be oncologically superior over PRFA for early HCC patients with predicted high-risk of MVI and associated with improved local disease control in these patients.

ANNALS OF SURGICAL ONCOLOGY (2021)

Article Gastroenterology & Hepatology

Downstaging Outcomes for Hepatocellular Carcinoma: Results From the Multicenter Evaluation of Reduction in Tumor Size before Liver Transplantation (MERITS-LT) Consortium

Neil Mehta et al.

Summary: This study is the first multiregional study based on UNOS-DS criteria, showing a successful downstaging rate of >80% and similar efficacy of chemoembolization and yttrium-90 radioembolization as the initial downstaging treatment. Despite a 2-year post-LT survival rate of 95%, a high rate of tumor understaging was observed.

GASTROENTEROLOGY (2021)

Article Gastroenterology & Hepatology

Prospective Study of Stereotactic Body Radiation Therapy for Hepatocellular Carcinoma on Waitlist for Liver Transplant

Tiffany Cho-Lam Wong et al.

Summary: The study showed that stereotactic body radiation therapy (SBRT) as a bridge to liver transplantation for HCC has a significantly higher tumor control rate and lower risk of waitlist dropout compared to conventional bridging therapies, making it a safe alternative option.

HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Impact of tenofovir alafenamide vs. entecavir on hepatocellular carcinoma risk in patients with chronic hepatitis B

Hye Won Lee et al.

Summary: The study found that CHB patients treated with ETV and TAF have similar risk of developing HCC, suggesting that further research with larger sample sizes and longer follow-up periods is needed for validation.

HEPATOLOGY INTERNATIONAL (2021)

Article Gastroenterology & Hepatology

Early response and safety of atezolizumab plus bevacizumab for unresectable hepatocellular carcinoma in patients who do not meet IMbrave150 eligibility criteria

Takuya Sho et al.

Summary: This study evaluated the real-world effectiveness of atezolizumab plus bevacizumab in patients with unresectable HCC, especially those who did not meet the eligibility criteria of the IMbrave150 trial. The results showed that the combination therapy had good safety and efficacy at the early treatment phase for most patients.

HEPATOLOGY RESEARCH (2021)

Article Oncology

Safety, Efficacy, and Pharmacodynamics of Tremelimumab Plus Durvalumab for Patients With Unresectable Hepatocellular Carcinoma: Randomized Expansion of a Phase I/II Study

Robin Kate Kelley et al.

Summary: This study evaluated the treatment regimens for patients with hepatocellular carcinoma and found that all regimens were tolerable and clinically active, with the T300 + D regimen showing the most favorable benefit-risk profile. Early expansion of CD8+ lymphocytes was associated with treatment response across arms.

JOURNAL OF CLINICAL ONCOLOGY (2021)

Article Oncology

Donafenib Versus Sorafenib in First-Line Treatment of Unresectable or Metastatic Hepatocellular Carcinoma: A Randomized, Open-Label, Parallel-Controlled Phase II-III Trial

Shukui Qin et al.

Summary: This study demonstrated that donafenib is more effective than sorafenib in treating advanced hepatocellular carcinoma, showing promise in improving patients' survival outcomes, and exhibiting favorable safety profile.

JOURNAL OF CLINICAL ONCOLOGY (2021)

Article Gastroenterology & Hepatology

CheckMate 040 cohort 5: A phase I/II study of nivolumab in patients with advanced hepatocellular carcinoma and Child-Pugh B cirrhosis

Masatoshi Kudo et al.

Summary: Nivolumab monotherapy showed clinical activity and favorable safety in patients with Child-Pugh B status aHCC, with manageable treatment-related adverse events, suggesting its suitability for this patient population.

JOURNAL OF HEPATOLOGY (2021)

Letter Gastroenterology & Hepatology

The mRNA COVID-19 vaccine - A rare trigger of autoimmune hepatitis?

Cathy McShane et al.

JOURNAL OF HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Effect of tenofovir alafenamide vs. tenofovir disoproxil fumarate on hepatocellular carcinoma risk in chronic hepatitis B

Hye Won Lee et al.

Summary: The study compared the effectiveness of TDF and TAF in preventing HCC development in CHB patients, showing no significant difference in risk between the two. Factors independently associated with an increased risk of HCC included male gender, liver cirrhosis, hepatitis B e antigen negativity, Fibrosis-4 index>3.25, and low albumin levels.

JOURNAL OF VIRAL HEPATITIS (2021)

Article Gastroenterology & Hepatology

Regorafenib Efficacy After Sorafenib in Patients With Recurrent Hepatocellular Carcinoma After Liver Transplantation: A Retrospective Study

Massimo Iavarone et al.

Summary: This study demonstrates that regorafenib has a longer survival benefit in hepatocellular carcinoma patients after liver transplantation and sorafenib discontinuation, making it an effective second-line treatment option.

LIVER TRANSPLANTATION (2021)

Review Radiology, Nuclear Medicine & Medical Imaging

Perfluorobutane contrast-enhanced ultrasonography for the diagnosis of HCC: a systematic review and meta-analysis

Yichun Yang et al.

Summary: Perfluorobutane ultrasound contrast agent (P-CEUS) demonstrates high accuracy and reliability in the diagnosis of hepatocellular carcinoma (HCC), outperforming other imaging techniques. Meta-analysis of 9 studies reveals that P-CEUS has high sensitivity and specificity in characterizing HCC.

ABDOMINAL RADIOLOGY (2021)

Article Medicine, General & Internal

Comparative Analysis of Lenvatinib and Hepatic Arterial Infusion Chemotherapy in Unresectable Hepatocellular Carcinoma: A Multi-Center, Propensity Score Study

Jaejun Lee et al.

Summary: The study revealed that in unresectable hepatocellular carcinoma patients, lenvatinib and hepatic artery infusion chemotherapy showed similar objective response rates and overall survival. However, for patients with a high tumor burden, hepatic artery infusion chemotherapy resulted in longer overall survival.

JOURNAL OF CLINICAL MEDICINE (2021)

Article Oncology

Clinical Characteristics of Long-Term Survivors After Sorafenib Treatment for Unresectable Hepatocellular Carcinoma: A Korean National Multicenter Retrospective Cohort Study

Young Youn Cho et al.

Summary: This study evaluated prognostic factors of long-term survivors in Korean patients with unresectable HCC treated with sorafenib. Metformin use, hand-foot skin reaction, and concomitant treatment with chemoembolization or radiotherapy were identified as prognostic factors predicting long-term survival. Poor prognostic factors included a Child-Pugh score of B, presence of extrahepatic metastasis, main portal vein invasion, and elevated alpha-fetoprotein level.

JOURNAL OF HEPATOCELLULAR CARCINOMA (2021)

Article Oncology

Living Donor Liver Transplantation: The Optimal Curative Treatment for Hepatocellular Carcinoma Even Beyond Milan Criteria

Altan Alim et al.

Summary: Liver transplantation is the preferred treatment for hepatocellular carcinoma, even in patients beyond Milan criteria. This study shows that the Milan criteria alone are not sufficient to predict survival after transplantation. Independent prognostic factors for survival include Alpha-fetoprotein level and vascular invasion status.

CANCER CONTROL (2021)

Article Radiology, Nuclear Medicine & Medical Imaging

Prospective Multi-Center Korean Registry of Transcatheter Arterial Chemoembolization with Drug-Eluting Embolics for Nodular Hepatocellular Carcinoma: A Two-Year Outcome Analysis

Myungsu Lee et al.

Summary: This study evaluated the two-year treatment outcomes of chemoembolization with drug-eluting embolics for nodular hepatocellular carcinoma in the Korean population. The results showed acceptable survival, tumor response, and safety profiles after a two-year follow-up. Good liver function was identified as a key predictor for patient overall survival, progression-free survival, and lesion tumor control.

KOREAN JOURNAL OF RADIOLOGY (2021)

Article Gastroenterology & Hepatology

Non-invasive imaging criteria for the diagnosis of hepatocellular carcinoma in non-cirrhotic patients with chronic hepatitis B

Carlos Moctezuma-Velazquez et al.

Summary: The study evaluated the performance of EASL and LI-RADS criteria for diagnosing HCC in non-cirrhotic patients with chronic HBV infection. The criteria showed a positive predictive value comparable to that seen in patients with cirrhosis when the pre-test probability of HCC is >70%. These criteria could be used for diagnosing HCC in non-cirrhotic patients with HBV.

JHEP REPORTS (2021)

Article Radiology, Nuclear Medicine & Medical Imaging

No-Touch vs. Conventional Radiofrequency Ablation Using Twin Internally Cooled Wet Electrodes for Small Hepatocellular Carcinomas: A Randomized Prospective Comparative Study

Yun Seok Suh et al.

Summary: This study aimed to compare the efficacy between no-touch (NT) radiofrequency ablation (RFA) and conventional RFA using twin internally cooled wet (TICW) electrodes in the bipolar mode for the treatment of small hepatocellular carcinomas (HCC). The results showed that NT-RFA using TICW electrodes in bipolar mode demonstrated significantly lower cumulative local tumor progression (LTP) rates than conventional RFA for small HCCs, which warrants further confirmation in larger studies.

KOREAN JOURNAL OF RADIOLOGY (2021)

Article Surgery

Realization of improved outcomes following liver resection in hepatocellular carcinoma patients aged 75 years and older

Jong Man Kim et al.

Summary: This study compared the postoperative and long-term outcomes of liver resection in hepatocellular carcinoma patients older than 75 years of age according to operation period. The results showed that with advancements in surgical techniques and anatomical approach, as well as the use of laparoscopic LR, outcomes for elderly HCC patients have significantly improved in recent years.

ANNALS OF SURGICAL TREATMENT AND RESEARCH (2021)

Article Gastroenterology & Hepatology

Hepatocellular carcinoma patients with portal vein thrombosis treated with robotic radiosurgery: Interim results of a prospective study

Debnarayan Dutta et al.

Summary: The study evaluated the role of SBRT with CyberKnife in Indian patients with hepatocellular carcinoma and portal vein thrombosis. Results showed that PVT response or recanalization after SBRT is a significant prognostic factor for survival in HCC-PVT patients.

INDIAN JOURNAL OF GASTROENTEROLOGY (2021)

Article Radiology, Nuclear Medicine & Medical Imaging

Diagnostic Performance of 2018 KLCA-NCC Practice Guideline for Hepatocellular Carcinoma on Gadoxetic Acid-Enhanced MRI in Patients with Chronic Hepatitis B or Cirrhosis: Comparison with LI-RADS Version 2018

Sang Min Lee et al.

Summary: This study evaluated the performance of the 2018 KLCA-NCC Practice Guidelines and LI-RADS 2018 for diagnosing HCC using gadoxetic acid-enhanced MRI. The results showed that for lesions >= 2 cm, definite HCC had higher sensitivity than LR-5 without reducing specificity. Additionally, definite/probable HCC had similar sensitivity and specificity compared to LR-5/4.

KOREAN JOURNAL OF RADIOLOGY (2021)

Article Medicine, General & Internal

Entecavir versus Tenofovir for the Prevention of Hepatocellular Carcinoma in Treatment-naive Chronic Hepatitis B Patients in Korea

HeeKyoung Choi et al.

Summary: This retrospective cohort study using nationwide claims data assessed the effects of ETV and TDF on preventing HCC in treatment-naive patients with chronic hepatitis B. The study found that in patients with chronic hepatitis B, ETV treatment did not result in a higher rate of HCC than TDF treatment.

JOURNAL OF KOREAN MEDICAL SCIENCE (2021)

Article Oncology

Hepatobiliary Cancers, Version 2.2021

Al B. Benson III et al.

Summary: The NCCN Guidelines for Hepatobiliary Cancers provide recommendations for screening, diagnosis, staging, treatment, and management of HCC, gallbladder cancer, and cancer of the bile ducts. A multidisciplinary evaluation is crucial for determining optimal treatment strategies, with significant advancements in systemic treatment of HCC beyond traditional options like sorafenib.

JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK (2021)

Article Surgery

Laparoscopic and open liver resection for hepatocellular carcinoma with Child-Pugh B cirrhosis: multicentre propensity score-matched study

R. Troisi et al.

Summary: For patients with Child-Pugh B cirrhosis undergoing liver resection for HCC, laparoscopic surgery is associated with lower blood loss, lower morbidity, and shorter hospital stay compared to open surgery. However, the 5-year overall and disease-free survival rates do not significantly differ between the two approaches. Patients without preoperative portal hypertension and Child-Pugh B7 cirrhosis may benefit most from laparoscopic liver surgery.

BRITISH JOURNAL OF SURGERY (2021)

Article Oncology

Lenvatinib, toripalimab, plus hepatic arterial infusion chemotherapy versus lenvatinib alone for advanced hepatocellular carcinoma

Min-Ke He et al.

Summary: This study compared the efficacy and safety of lenvatinib, toripalimab, plus HAIC versus lenvatinib for advanced hepatocellular carcinoma, showing that the LeToHAIC group had significantly longer progression-free survival, overall survival, higher objective response rate, and more complete responses in target lesions. The combination therapy had acceptable toxic effects and may improve survival compared with lenvatinib alone.

THERAPEUTIC ADVANCES IN MEDICAL ONCOLOGY (2021)

Article Oncology

Hepatic Arterial Infusion Chemotherapy Combined with Radiation Therapy for Advanced Hepatocellular Carcinoma with Tumor Thrombosis of the Main Trunk or Bilobar of the Portal Vein

Yumi Kosaka et al.

Summary: The combination therapy of HAIC and RT shows promising results for advanced HCC patients with Vp4, significantly improving overall survival and progression-free survival rates. Factors such as >50% of relative tumor volume in the liver and extrahepatic spread have been identified as significant factors affecting overall survival.

LIVER CANCER (2021)

Article Oncology

Clinical Outcomes with Multikinase Inhibitors after Progression on First-Line Atezolizumab plus Bevacizumab in Patients with Advanced Hepatocellular Carcinoma: A Multinational Multicenter Retrospective Study

Changhoon Yoo et al.

Summary: In patients with advanced hepatocellular carcinoma who experienced disease progression on atezolizumab-bevacizumab, second-line treatment with multikinase inhibitors, predominantly sorafenib and lenvatinib, demonstrated comparable efficacy and manageable toxicities.

LIVER CANCER (2021)

Article Oncology

Combined therapy with conventional trans-arterial chemoembolization (cTACE) and microwave ablation (MWA) for hepatocellular carcinoma >3-<5 cm

Mohamed M. A. Zaitoun et al.

Summary: The study compared the safety and efficacy of combined therapy with cTACE + MWA versus only TACE or MWA for treatment of Hepatocellular Carcinoma (HCC) >3-<5 cm. The results showed that the combined therapy group had higher complete response rate, lower recurrence rate, higher overall survival rate, and higher progression-free survival rate compared to the TACE or MWA alone groups.

INTERNATIONAL JOURNAL OF HYPERTHERMIA (2021)

Article Multidisciplinary Sciences

NASH limits anti-tumour surveillance in immunotherapy-treated HCC

Dominik Pfister et al.

Summary: The text discusses the impact of NASH on the development of HCC and the effect of immunotherapy, revealing the accumulation of exhausted and unconventionally activated CD8(+)PD1(+) T cells in NASH-affected livers. In preclinical models of NASH-induced HCC, anti-PD1 treatment led to an increase in HCC, with CD8(+) T cells contributing to this increase.

NATURE (2021)

Article Oncology

Statin use and risk of liver cancer: Evidence from two population-based studies

Kim Tu Tran et al.

INTERNATIONAL JOURNAL OF CANCER (2020)

Article Gastroenterology & Hepatology

Statin Use and the Risk of Hepatocellular Carcinoma in Patients With Chronic Hepatitis B

Myung Ji Goh et al.

HEPATOLOGY (2020)

Article Gastroenterology & Hepatology

Predicting Hepatocellular Carcinoma Recurrence Beyond Milan Criteria After Liver Resection for Solitary Hepatocellular Carcinoma

Jong Man Kim et al.

JOURNAL OF GASTROINTESTINAL SURGERY (2020)

Review Surgery

Efficacy and tolerance of immune checkpoint inhibitors in transplant patients with cancer: A systematic review

Thibaut D'Izarny-Gargas et al.

AMERICAN JOURNAL OF TRANSPLANTATION (2020)

Article Gastroenterology & Hepatology

Disease Progression in Patients With Hepatitis C Virus Infection Treated With Direct-Acting Antiviral Agents

Manuel Mendizabal et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2020)

Article Oncology

Curative Irradiation Treatment of Hepatocellular Carcinoma: A Multicenter Phase 2 Trial

Jérôme Durand-Labrunie et al.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2020)

Article Radiology, Nuclear Medicine & Medical Imaging

Double Low-Dose Dual-Energy Liver CT in Patients at High-Risk of HCC A Prospective, Randomized, Single-Center Study

Jeong Hee Yoon et al.

INVESTIGATIVE RADIOLOGY (2020)

Article Gastroenterology & Hepatology

mRECIST for HCC: Performance and novel refinements

Josep M. Llovet et al.

JOURNAL OF HEPATOLOGY (2020)

Article Multidisciplinary Sciences

Palliative Liver Radiotherapy (RT) for Symptomatic Hepatocellular Carcinoma (HCC)

Cynthia S. Y. Yeung et al.

SCIENTIFIC REPORTS (2020)

Article Biochemistry & Molecular Biology

Statin use and the prognosis of patients with hepatocellular carcinoma: a meta-analysis

Xiaofei Li et al.

BIOSCIENCE REPORTS (2020)

Article Oncology

Socioeconomic Burden of Cancer in Korea from 2011 to 2015

Young Ae Kim et al.

CANCER RESEARCH AND TREATMENT (2020)

Article Medicine, General & Internal

Association of Aspirin with Hepatocellular Carcinoma and Liver-Related Mortality

Tracey G. Simon et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

Article Medicine, General & Internal

Atezolizumab plus Bevacizumab in Unresectable Hepatocellular Carcinoma

Richard S. Finn et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

Article Gastroenterology & Hepatology

Cost-Effectiveness of Hepatocellular Carcinoma Surveillance: An Assessment of Benefits and Harms

Neehar D. Parikh et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2020)

Article Radiology, Nuclear Medicine & Medical Imaging

Hepatobiliary phase hypointensity predicts progression to hepatocellular carcinoma for intermediate -high risk observations, but not time to progression

Federica Vernuccio et al.

EUROPEAN JOURNAL OF RADIOLOGY (2020)

Review Gastroenterology & Hepatology

Prevalence of chronic liver disease in patients with COVID-19 and their clinical outcomes: a systematic review and meta-analysis

Alexander J. Kovalic et al.

HEPATOLOGY INTERNATIONAL (2020)

Article Gastroenterology & Hepatology

Streamlining radioembolization in UNOS T1/T2 hepatocellular carcinoma by eliminating lung shunt estimation

Ahmed Gabr et al.

JOURNAL OF HEPATOLOGY (2020)

Article Gastroenterology & Hepatology

Comparison of LI-RADS 2018 and KLCA-NCC 2018 for noninvasive diagnosis of hepatocellular carcinoma using magnetic resonance imaging

Sunyoung Lee et al.

CLINICAL AND MOLECULAR HEPATOLOGY (2020)

Article Gastroenterology & Hepatology

Effectiveness of nivolumab versus regorafenib in hepatocellular carcinoma patients who failed sorafenib treatment

Cheol-Hyung Lee et al.

CLINICAL AND MOLECULAR HEPATOLOGY (2020)

Article Radiology, Nuclear Medicine & Medical Imaging

MRI Ancillary Features for LI-RADS Category 3 and 4 Observations: Improved Categorization to Indicate the Risk of Hepatic Malignancy

Yeun-Yoon Kim et al.

AMERICAN JOURNAL OF ROENTGENOLOGY (2020)

Review Gastroenterology & Hepatology

Hepatocellular carcinoma incidence with tenofovir versus entecavir in chronic hepatitis B: a systematic review and meta-analysis

Cheng-Hao Tseng et al.

LANCET GASTROENTEROLOGY & HEPATOLOGY (2020)

Review Gastroenterology & Hepatology

Role of Biomarkers and Biopsy in Hepatocellular Carcinoma

Vincent L. Chen et al.

CLINICS IN LIVER DISEASE (2020)

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