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Journal Cover Liver Cancer
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   Full-text available via subscription Subscription journal
   ISSN (Print) 2235-1795 - ISSN (Online) 1664-5553
   Published by Karger Homepage  [101 journals]
  • Regorafenib as Second-Line Systemic Therapy May Change the Treatment
           Strategy and Management Paradigm for Hepatocellular Carcinoma
    • Abstract:
      Liver Cancer 2016;5:235-244
      PubDate: 2016-09-14T00:00:00+02:00
       
  • Molecular Pathogenesis of Hepatocellular Carcinoma
    • Abstract: The pathogenesis of hepatocellular carcinoma (HCC) is a multistep process involving the progressive accumulation of molecular alterations pinpointing different molecular and cellular events. The next-generation sequencing technology is facilitating the global and systematic evaluation of molecular landscapes in HCC. There is emerging evidence supporting the importance of cancer metabolism and tumor microenvironment in providing a favorable and supportive niche to expedite HCC development. Moreover, recent studies have identified distinct surface markers of cancer stem cell (CSC) in HCC, and they also put forward the profound involvement of altered signaling pathways and epigenetic modifications in CSCs, in addition to the concomitant drug resistance and metastasis. Taken together, multiple key genetic and non-genetic factors, as well as liver CSCs, result in the development and progression of HCC.
      Liver Cancer 2016;5:290-302
      PubDate: 2016-09-14T00:00:00+02:00
       
  • Selective Internal Radiation Therapy (SIRT) as Conversion Therapy for
           Unresectable Primary Liver Malignancies
    • Abstract: Background: Many patients with primary liver cancers are not candidates for surgery, and systemic therapies are seldom effective. Selective internal radiation therapy (SIRT) has been shown to obtain partial and even complete response in unresectable primary tumors. As a “side effect”, SIRT can induce contra-lateral liver hypertrophy. Tumor response to SIRT can be sufficient to allow disengagement from normal vital structures whose involvement is the cause of the initial unresectability. The contra-lateral hypertrophy can thereby increase the future liver remnant (FLR) volume to over the safe threshold so that extended hepatectomy can be performed. Summary: A review of the available literature was performed to assess the tumor response and liver hypertrophy that can be expected after SIRT, in order to delineate whether SIRTcan play a role in conversion therapy for resectability of primary liver malignancies. Key Message: Available data suggest that SIRT in unresectable hepatocellular and cholangiocellular carcinomas can provide a considerable down-sizing of the tumors to possibly allow resection. Hypertrophy of the contra-lateral lobe represents a favorable collateral effect that can help in achieving safer subsequent major hepatectomy. In patients whose FLR volume represents the only surgical concern, portal vein embolization remains the treatment of choice.
      Liver Cancer 2016;5:303-311
      PubDate: 2016-09-14T00:00:00+02:00
       
  • Is Surgical Resection Justified for Advanced Intrahepatic
           Cholangiocarcinoma'
    • Abstract: Backgrounds: Prognosis for patients with advanced intrahepatic cholangiocarcinoma (ICC) with intrahepatic metastasis (IM), vascular invasion (VI), or regional lymph node metastasis (LM) remains poor. The aim of this study was to clarify the indications for surgical resection for advanced ICC. Methods: We retrospectively divided 213 ICC patients treated at Kyoto University Hospital between 1993 and 2013 into a resection (n=164) group and a non-resection (n=49) group. Overall survival was assessed after stratification for the presence of IM, VI, or LM. Results: Overall median survival times (MSTs) for the resection and non-resection groups were 26.0 and 7.1 months, respectively (p
      PubDate: 2016-09-14T00:00:00+02:00
       
  • Feasibility of Extracted-Overlay Fusion Imaging for Intraoperative
           Treatment Evaluation of Radiofrequency Ablation for Hepatocellular
           Carcinoma
    • Abstract: Background and Aims: Extracted-overlay fusion imaging is a novel computed tomography/magnetic resonance-ultrasonography (CT/MR-US) imaging technique in which a target tumor with a virtual ablative margin is extracted from CT/MR volume data and synchronously overlaid on US images. We investigated the applicability of the technique to intraoperative evaluation of radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC). Methods: This retrospective study analyzed 85 HCCs treated with RFA using extracted-overlay fusion imaging for guidance and evaluation. To perform RFA, an electrode was inserted targeting the tumor and a virtual 5-mm ablative margin overlaid on the US image. Following ablation, contrast-enhanced US (CEUS) was performed to assess the ablative margin, and the minimal ablative margins were categorized into three groups: (I) margin
      PubDate: 2016-09-14T00:00:00+02:00
       
  • Novel Pretreatment Scoring Incorporating C-reactive Protein to Predict
           Overall Survival in Advanced Hepatocellular Carcinoma with Sorafenib
           Treatment
    • Abstract: Objectives: This study aimed to build a prediction score of prognosis for patients with advanced hepatocellular carcinoma (HCC) after sorafenib treatment. Methods: A total of 165 patients with advanced HCC who were treated with sorafenib were analyzed. Readily available baseline factors were used to establish a scoring system for the prediction of survival. Results: The median survival time (MST) was 14.2 months. The independent prognostic factors were C-reactive protein (CRP) 3.5 g/dL (HR =0.55), alpha-fetoprotein
      PubDate: 2016-09-14T00:00:00+02:00
       
  • Surgery for Intermediate and Advanced Hepatocellular Carcinoma: A
           Consensus Report from the 5th Asia-Pacific Primary Liver Cancer Expert
           Meeting (APPLE 2014)
    • Abstract: Background: The Barcelona Clinic Liver Cancer (BCLC) staging and treatment strategy does not recommended surgery for treating BCLC stage B and C hepatocellular carcinoma (HCC). However, numerous Asia-Pacific institutes still perform surgery for this patient group. This consensus report from the 5th Asia-Pacific Primary Liver Cancer Expert Meeting aimed to share opinions and experiences pertaining to liver resection for intermediate and advanced HCCs and to provide evidence to issue recommendations for surgery in this patient group. Summary: Thirteen experts from five Asia-Pacific regions were invited to the meeting; 10 of them (Japan: 2, Taiwan: 3, South Korea: 2, Hong Kong: 1, and China: 2) voted for the final consensus. The discussion focused on evaluating the preoperative liver functional reserve and surgery for large tumors, multiple tumors, HCCs with vascular invasion, and HCCs with distant metastasis. The feasibility of future prospective randomized trials comparing surgery with transarterial chemoembolization for intermediate HCC and with sorafenib for advanced HCC was also discussed. The Child-Pugh score (9/10 experts) and indocyanine green retention rate at 15 min (8/10) were the most widely accepted methods for evaluating the preoperative liver functional reserve. All (10/10) experts agreed that portal hypertension, tumor size >5 cm, portal venous invasion, hepatic venous invasion, and extrahepatic metastasis are not absolute contraindications for the surgical resection of HCC. Furthermore, 9 of the 10 experts agreed that tumor resection may be performed for patients with >3 tumors. The limitations of surgery are associated with a poor liver functional reserve, incomplete tumor resection, and a high probability of recurrence. Key Messages: Surgery provides significant survival benefits for Asian-Pacific patients with intermediate and advanced HCCs, particularly when the liver functional reserve is favorable. However, prospective randomized controlled trials are difficult to conduct because of technical and ethical considerations.
      Liver Cancer 2016;5:245-256
      PubDate: 2016-09-14T00:00:00+02:00
       
  • The 7th Asia-Pacific Primary Liver Cancer Expert Meeting (APPLE 2016).
           Advancing HCC Management through Multi-Disciplinary Approach. Hong Kong,
           SAR (China), July 8-10, 2016: Abstracts
    • Abstract:
      Liver Cancer 2016;5(suppl 1):1-94
      PubDate: 2016-07-07T00:00:00+02:00
       
  • Title Page / Table of Contents
    • Abstract:
      Liver Cancer 2016;5(suppl 1):I-IV
      PubDate: 2016-07-07T00:00:00+02:00
       
  • APPLE News
    • Abstract:
      Liver Cancer 2016;5:233-234
      PubDate: 2016-07-06T00:00:00+02:00
       
 
 
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