Brain metastases from hepatocellular carcinoma: recent advances and future avenues

被引:26
作者
Wang, Shanshan [1 ,2 ]
Wang, Anqiang [1 ,2 ]
Lin, Jianzhen [1 ,2 ]
Xie, Yuan [1 ,2 ]
Wu, Liangcai [1 ,2 ]
Huang, Hanchun [1 ,2 ]
Bian, Jin [1 ,2 ]
Yang, Xiaobo [1 ,2 ]
Wan, Xueshuai [1 ,2 ]
Zhao, Haitao [1 ,2 ,3 ]
Huang, Jiefu [1 ,2 ]
机构
[1] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Liver Surg, Beijing, Peoples R China
[2] Peking Union Med Coll, Beijing, Peoples R China
[3] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Ctr Translat Med, Beijing, Peoples R China
关键词
brain metastases; hepatocellular carcinoma; radiotherapy; targeted therapy; immunotherapy; CELL LUNG-CANCER; GRADED PROGNOSTIC ASSESSMENT; BREAST-CANCER; STEREOTACTIC RADIOSURGERY; EXTRAHEPATIC METASTASES; CLINICAL-FEATURES; TARGETED THERAPY; SUPPORTIVE CARE; OPEN-LABEL; MELANOMA;
D O I
10.18632/oncotarget.15730
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The incidence of brain metastases from hepatocellular carcinoma (BMHCC) is becoming more frequent than that of the past as a result of prolonged survival of patients with HCC. Compared with brain metastases from other types of cancer, BMHCC tends to exhibit a high incidence of intracerebral hemorrhage (ICH) and poor liver function. Unfortunately, the prognosis is extremely poor for patients with BMHCC owing to the limited treatment selection. Currently, optimal treatment requires multidisciplinary approaches including surgery, whole-brain radiation therapy and stereotactic radiosurgery. Besides these traditional approaches, novel treatments such as target therapy and immunotherapy provide an opportunity to improve the survival of these patients. This review provides an overview of the incidence, characteristics, prognosis, and current and potential future management strategies for BMHCC.
引用
收藏
页码:25814 / 25829
页数:16
相关论文
共 132 条
[1]  
Ahluwalia MS, 2014, F1000 PRIME REPORTS
[2]   Clinical outcomes of melanoma brain metastases treated with stereotactic radiation and anti-PD-1 therapy [J].
Ahmed, K. A. ;
Stallworth, D. G. ;
Kim, Y. ;
Johnstone, P. A. S. ;
Harrison, L. B. ;
Caudell, J. J. ;
Yu, H. H. M. ;
Etame, A. B. ;
Weber, J. S. ;
Gibney, G. T. .
ANNALS OF ONCOLOGY, 2016, 27 (03) :434-441
[3]   Evolving treatment options for melanoma brain metastases [J].
Ajithkumar, Thankamma ;
Parkinson, Christine ;
Fife, Kate ;
Corrie, Pippa ;
Jeff, Sarah .
LANCET ONCOLOGY, 2015, 16 (13) :E486-E497
[4]   Risk of intracranial hemorrhage with anticoagulation therapy in melanoma patients with brain metastases [J].
Alvarado, Gladys ;
Noor, Rahat ;
Bassett, Roland ;
Papadopoulos, Nicholas E. ;
Kim, Kevin B. ;
Hwu, Wen-Jen ;
Bedikian, Agop ;
Patel, Sapna ;
Hwu, Patrick ;
Davies, Michael A. .
MELANOMA RESEARCH, 2012, 22 (04) :310-315
[5]   The Prognostic Contribution of Clinical Breast Cancer Subtype, Age, and Race Among Patients With Breast Cancer Brain Metastases [J].
Anders, Carey K. ;
Deal, Allison M. ;
Miller, C. Ryan ;
Khorram, Carmen ;
Meng, Hong ;
Burrows, Emily ;
Livasy, Chad ;
Fritchie, Karen ;
Ewend, Matthew G. ;
Perou, Charles M. ;
Carey, Lisa A. .
CANCER, 2011, 117 (08) :1602-1611
[6]  
[Anonymous], EXPT HEMATOLOGY ONCO
[7]  
Barajas RF, 2012, PROG NEUROL SURG, V25, P55, DOI 10.1159/000331174
[8]   A nomogram for individualized estimation of survival among patients with brain metastasis [J].
Barnholtz-Sloan, Jill S. ;
Yu, Changhong ;
Sloan, Andrew E. ;
Vengoechea, Jaime ;
Wang, Meihua ;
Dignam, James J. ;
Vogelbaum, Michael A. ;
Sperduto, Paul W. ;
Mehta, Minesh P. ;
Machtay, Mitchell ;
Kattan, Michael W. .
NEURO-ONCOLOGY, 2012, 14 (07) :910-918
[9]   Patients with brain metastases from gastrointestinal tract cancer treated with whole brain radiation therapy: Prognostic factors and survival [J].
Bartelt, Susanne ;
Momm, Felix ;
Weissenberger, Christian ;
Lutterbach, Johannes .
WORLD JOURNAL OF GASTROENTEROLOGY, 2004, 10 (22) :3345-3348
[10]   Optimal Management of Brain Metastases from Breast Cancer Issues and Considerations [J].
Bartsch, Rupert ;
Berghoff, Anna S. ;
Preusser, Matthias .
CNS DRUGS, 2013, 27 (02) :121-134