학술논문

New frontiers in endovascular therapies for locally advanced hepatocellular carcinoma
Document Type
article
Source
Radiologia Brasileira. April 2021 54(2)
Subject
Carcinoma, hepatocellular/therapy
Fibrosis
Liver/pathology
Medical oncology/methods
Chemoembolization, therapeutic
Liver neoplasms/radiotherapy
Language
English
ISSN
0100-3984
Abstract
Hepatocellular carcinoma is the most common primary malignant liver tumour and is a leading cause of death worldwide. Despite the advent of screening programmes, most cases of hepatocellular carcinoma are diagnosed late (in an advanced stage) which precludes curative treatments such as surgery and ablation. Therefore, intra-arterial locoregional treatments now play a central role in the management of advanced hepatocellular carcinoma, such treatments ranging from trans-arterial chemo-embolisation to the more recently developed trans-arterial radio-embolisation technique. In this essay, we discuss the state of the art of intra-arterial treatment for locally advanced hepatocellular carcinoma and the future directions for such treatment.