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Systemic therapy for hepatocellular carcinoma: Chinese consensus-based interdisciplinary expert statements
Liver Cancer ( IF 11.6 ) Pub Date : 2022-01-04 , DOI: 10.1159/000521596
Yongkun Sun 1 , Wen Zhang 1 , Xinyu Bi 2 , Zhengqiang Yang 3 , Yu Tang 4 , Liming Jiang 5 , Feng Bi 6 , Minshan Chen 7 , Shuqun Cheng 8 , Yihebali Chi 1 , Yue Han 3 , Jing Huang 1 , Zhen Huang 2 , Yuan Ji 9 , Liqun Jia 10 , Zhichao Jiang 1 , Jing Jin 11 , Zhengyu Jin 12 , Xiao Li 3 , Zhiyu Li 2 , Jun Liang 13 , Lianxin Liu 14 , Yunpeng Liu 15 , Yinying Lu 16 , Shichun Lu 17 , Qinghua Meng 18 , Zuoxing Niu 19 , Hongming Pan 20 , Shukui Qin 21 , Wang Qu 1 , Guoliang Shao 22 , Feng Shen 23 , Tianqiang Song 24 , Yan Song 1 , Kaishan Tao 25 , Aiping Tian 26 , Jianhua Wang 27 , Wenling Wang 28 , Zhe Wang 29 , Liqun Wu 30 , Feng Xia 31 , Baocai Xing 32 , Jianming Xu 33 , Huadan Xue 12 , Dong Yan 3 , Lin Yang 1 , Jianming Ying 34 , Jingping Yun 35 , Zhaochong Zeng 36 , Xuewen Zhang 37 , Yanqiao Zhang 38 , Yefan Zhang 2 , Jianjun Zhao 2 , Jianguo Zhou 2 , Xu Zhu 39 , Yinghua Zou 40 , Jiahong Dong 41 , Jia Fan 42 , Wan Yee Lau 43 , Yan Sun 1 , Jinming Yu 44 , Hong Zhao 2 , Aiping Zhou 1 , Jianqiang Cai 2
Affiliation  

Background: Hepatocellular carcinoma (HCC) is the most common type of liver cancer and causes many cancer-related deaths worldwide; in China it is the second most prevalent cause of cancer deaths. Most patients are diagnosed clinically with advanced stage disease. Summary: For more than a decade, sorafenib, a small molecular weight tyrosine kinase-inhibitor (SMW TKI) was the only molecular targeted drug available with a survival benefit for the treatment of advanced HCC. With the development of novel TKIs and immune checkpoint inhibitors (ICIs) for advanced HCC, the management of patients has been greatly improved. However, though angiogenic-based targeted therapy remains the backbone for the systemic treatment of HCC, to date no Chinese guidelines for novel molecular targeted therapies to treat advanced HCC have been established. Our interdisciplinary panel on the treatment of advanced HCC comprising hepatologists, hepatobiliary surgeons, oncologists,radiologists,pathologists, orthopedic surgeons, traditional Chinese medicine physicians and interventional radiologists have reviewed the literature in order to develop updated treatment regimens. Key Messages: Panel consensus statements for the appropriate use of new molecular targeted drugs including doses, combination therapies, adverse reaction management as well as efficacy evaluation and predictions for treatment of advanced HCC with evidence levels based on published data are presented, thereby providing an overview of molecular targeted therapies for healthcare professionals.
更新日期:2022-01-04
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