Evolution of systemic therapy of advanced hepatocellular carcinoma

被引:50
作者
Yau, Thomas [1 ]
Chan, Pierre [1 ]
Epstein, Richard [1 ]
Poon, Ronnie T. [2 ]
机构
[1] Queen Mary Hosp, Dept Med, Hong Kong, Hong Kong, Peoples R China
[2] Queen Mary Hosp, Dept Surg, Hong Kong, Hong Kong, Peoples R China
关键词
Advanced hepatocellular carcinoma; Chemotherapy; Doxorubicin; Sorafenib;
D O I
10.3748/wjg.14.6437
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hepatocellular carcinoma (HCC) commonly occurs in hepatitis B endemic areas, especially in Asian countries. HCC is highly refractory to cytotoxic chemotherapy. This resistance is partly related to its tumor biology, pharmacokinetic properties, and both intrinsic and acquired drug resistance. There is no convincing evidence thus far that systemic chemotherapy improves overall survival in advanced HCC patients. Other systemic approaches, such as hormonal therapy and immunotherapy, have also disappointing results. Recently, encouraging results have been shown in using sorafenib in the treatment of advanced HCC patients. In this review, we concisely summarize the evolution of developments in the systemic therapy of advanced HCC. (c) 2008 The WIG Press. All rights reserved.
引用
收藏
页码:6437 / 6441
页数:5
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