New Insights into the Diagnosis and Treatment of Hepatocellular Carcinoma

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cancer Biology and Oncology".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 990

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Molecular Oncology Unit, Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
Interests: oncology; medicine; cancer biology; autophagy; molecular science
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Special Issue Information

Dear Colleagues,

Hepatocellular carcinoma (HCC) is a primary liver cancer that is highly prevalent worldwide. The management of HCC requires a multidisciplinary approach, with therapy options including surgery, chemotherapy, radiation therapy, and targeted therapy. The choice of therapy depends on several factors, including the stage and extent of the disease, the patient's underlying liver function, and the presence of comorbidities. In recent years, there have been significant advances in the treatment of HCC, with the development of new systemic therapies and targeted molecular therapies. Researchers are exploring different types of immunotherapy for HCC, including checkpoint inhibitors and adoptive cell transfer therapy. Early studies have shown promise for these treatments, with some patients experiencing significant tumor shrinkage and improved overall survival rates. However, there is still a need for better therapies that can improve the outcomes of HCC patients.

We look forward to receiving your contributions.

Dr. Evangelos Koustas
Guest Editor

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Keywords

  • checkpoint inhibitors
  • combinatorial treatments
  • hepatocellular carcinoma (HCC)
  • immunotherapy
  • liver cancer
  • therapy
  • targeted therapy

Published Papers (2 papers)

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Review

30 pages, 919 KiB  
Review
Examining the Efficacy and Safety of Combined Locoregional Therapy and Immunotherapy in Treating Hepatocellular Carcinoma
by Nojan Bajestani, Gavin Wu, Ahmed Hussein and Mina S. Makary
Biomedicines 2024, 12(7), 1432; https://doi.org/10.3390/biomedicines12071432 - 27 Jun 2024
Viewed by 261
Abstract
More than 800,000 people worldwide are diagnosed with HCC (hepatocellular carcinoma) each year, with approximately 700,000 deaths alone occurring in that same year. Treatment of HCC presents complex therapeutic challenges, particularly in intermediate and advanced stages. LRTs such as transarterial chemoembolization (TACE) and [...] Read more.
More than 800,000 people worldwide are diagnosed with HCC (hepatocellular carcinoma) each year, with approximately 700,000 deaths alone occurring in that same year. Treatment of HCC presents complex therapeutic challenges, particularly in intermediate and advanced stages. LRTs such as transarterial chemoembolization (TACE) and ablations have been the mainstay treatment for early to intermediate-stage HCC, and systemic therapies are used to treat intermediate-late-stage HCC. However, novel literature describing combining LRT with systemic therapies has shown promising results. This review explores recent advances in both liver-directed techniques for hepatocellular carcinoma, including bland transarterial embolization, chemoembolization, radioembolization, and ablative therapies in conjunction as well as with systemic therapies, with a focus on combination therapies, patient selection, procedural technique, periprocedural management, and outcomes. Our findings suggest that LRT combined with systemic therapies is a viable strategy for improving progression-free survival and time to progression for patients with intermediate-to-late-stage HCC. However, further investigation is required to refine treatment protocols and define patient cohorts that would benefit the most. Full article
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18 pages, 2629 KiB  
Review
Navigating Complex Challenges: Preoperative Assessment and Surgical Strategies for Liver Resection in Patients with Fibrosis or Cirrhosis
by Jennifer A. Kalil, Marc Deschenes, Hugo Perrier, Oran Zlotnik and Peter Metrakos
Biomedicines 2024, 12(6), 1264; https://doi.org/10.3390/biomedicines12061264 - 6 Jun 2024
Viewed by 528
Abstract
This review explores the intricacies of evaluating cirrhotic patients for liver resection while exploring how to extend surgical intervention to those typically excluded by the Barcelona Clinic Liver Cancer (BCLC) criteria guidelines by focusing on the need for robust preoperative assessment and innovative [...] Read more.
This review explores the intricacies of evaluating cirrhotic patients for liver resection while exploring how to extend surgical intervention to those typically excluded by the Barcelona Clinic Liver Cancer (BCLC) criteria guidelines by focusing on the need for robust preoperative assessment and innovative surgical strategies. Cirrhosis presents unique challenges and complicates liver resection due to the altered physiology of the liver, portal hypertension, and liver decompensation. The primary objective of this review is to discuss the current approaches in assessing the suitability of cirrhotic patients for liver resection and aims to identify which patients outside of the BCLC criteria can safely undergo liver resection by highlighting emerging strategies that can improve surgical safety and outcomes. Full article
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