Therapeutic Advances in Initially Unresectable Locally Advanced Intrahepatic Cholangiocarcinoma: Emerging Treatments and the Role of Liver Transplantation.

IF 3.4 4区 医学 Q2 ONCOLOGY
Sofia Lopiano, James V Guarrera, Keri E Lunsford
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引用次数: 0

Abstract

Optimal curative therapy for intrahepatic cholangiocarcinoma (iCCA) involves hepatic resection; however, due to its insidious nature, iCCA frequently presents at advanced stages. Consequently, 70-80% of patients feature unresectable iCCA at presentation. Recent expansions in therapeutic options for locally advanced unresectable iCCA include immunotherapy, targeted chemotherapeutics, and liver-directed therapies. These have increased progression-free survival, enhanced response rates, and improved downstaging for resection. Liver transplant has also emerged as an alternative for patients whose tumors remain unresectable despite therapeutic response. Here, we explore emerging treatment options included in a multidisciplinary treatment paradigm to prolong survival in patients with initially unresectable locally advanced iCCA.

最初不可切除的局部晚期肝内胆管癌的治疗进展:新的治疗方法和肝移植的作用。
肝内胆管癌(iCCA)的最佳治疗包括肝切除术;然而,由于其隐蔽性,iCCA经常出现在晚期。因此,70-80%的患者在就诊时具有不可切除的iCCA。最近扩大了局部晚期不可切除iCCA的治疗选择,包括免疫治疗、靶向化疗和肝脏定向治疗。这些方法增加了无进展生存期,提高了缓解率,并改善了切除的低分期。肝移植也已成为肿瘤虽有治疗效果但仍不能切除的患者的替代选择。在这里,我们探讨了包括在多学科治疗范式中的新兴治疗方案,以延长最初不可切除的局部晚期iCCA患者的生存期。
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来源期刊
Current oncology
Current oncology ONCOLOGY-
CiteScore
3.30
自引率
7.70%
发文量
664
审稿时长
1 months
期刊介绍: Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.
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