Eduardo Crespo, Antonio Hermosín, Álvaro Villalba, Eduardo Daguer, José Flores, Javier Periañez, Mario Martínez-Galdámez, Ernesto Santos
{"title":"Uncooled TATO microwave system for liver ablation.","authors":"Eduardo Crespo, Antonio Hermosín, Álvaro Villalba, Eduardo Daguer, José Flores, Javier Periañez, Mario Martínez-Galdámez, Ernesto Santos","doi":"10.2217/hep-2022-0002","DOIUrl":"https://doi.org/10.2217/hep-2022-0002","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the safety and efficacy of uncooled TATO microwave ablation (MWA) for primary and metastatic liver cancer.</p><p><strong>Materials & methods: </strong>This was a retrospective study on percutaneous liver ablations performed with TATO MWA. Twenty-five ablations were performed; 11 (44%) were performed for hepatocellular carcinoma, 14 (56%) for colorectal carcinoma, gastric and pancreatic metastases.</p><p><strong>Results: </strong>Adverse events were reported only in one (4%) ablation: an abscess that was observed in the ablated area and was resolved with a percutaneous drainage and antibiotic therapy. Local tumor control rate was 92% at the 3-month follow-up.</p><p><strong>Conclusion: </strong>TATO MWA was safe and effective with high reproducibility in treating primary and secondary liver cancer with satisfactory technical and clinical outcomes.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"9 4","pages":"HEP46"},"PeriodicalIF":5.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/f5/hep-09-46.PMC10064260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tasneem Lokhandwala, Abdalla Aly, Eileen Farrelly, Joanne P Willey, Lois E Lamerato, Marcus Healey, Anna D Coutinho, Brian S Seal
{"title":"Management of hepatocellular carcinoma from diagnosis in routine clinical practice.","authors":"Tasneem Lokhandwala, Abdalla Aly, Eileen Farrelly, Joanne P Willey, Lois E Lamerato, Marcus Healey, Anna D Coutinho, Brian S Seal","doi":"10.2217/hep-2021-0011","DOIUrl":"https://doi.org/10.2217/hep-2021-0011","url":null,"abstract":"<p><strong>Aim: </strong>To assess real-world management of patients diagnosed with hepatocellular carcinoma (HCC) within an integrated delivery network.</p><p><strong>Materials & methods: </strong>A retrospective cohort analysis of adults newly diagnosed with HCC from January 2014 to March 2019. Overall survival and treatment journey were assessed over the entire available follow-up period per patient.</p><p><strong>Results: </strong>Of the 462 patients, 85% had ≥1 treatment. The 24-month overall survival rate (95% CI) from first treatment was 77% (72-82%). Majority of Child-Pugh class A (71%) and B (60%) patients received locoregional therapy first. Half (53.6%) of the patients with liver transplantation first were Child-Pugh class C patients. Sorafenib was the predominant systemic therapy.</p><p><strong>Conclusion: </strong>This integrated delivery network data analysis offers a comprehensive insight into the real-world management of HCC.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"9 4","pages":"HEP45"},"PeriodicalIF":5.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/06/hep-09-45.PMC10064261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9236012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hepatic OncologyPub Date : 2022-09-27eCollection Date: 2022-09-01DOI: 10.2217/hep-2021-0014
Gokula Kumar Appalanaido, Muhamad Zabidi Ahmad, Syadwa Abdul Shukor, Alex Khoo Cheen Hoe, Manisekar K Subramaniam, Ang Soo Fan, Mohd Zahri Abdul Aziz
{"title":"Pathological complete response with immunotherapy and brachytherapy to 15 metastatic liver lesions in a single patient.","authors":"Gokula Kumar Appalanaido, Muhamad Zabidi Ahmad, Syadwa Abdul Shukor, Alex Khoo Cheen Hoe, Manisekar K Subramaniam, Ang Soo Fan, Mohd Zahri Abdul Aziz","doi":"10.2217/hep-2021-0014","DOIUrl":"https://doi.org/10.2217/hep-2021-0014","url":null,"abstract":"<p><strong>Materials & methods: </strong>High dose rate interstitial brachytherapy (HDR-IBT) treatment plan for 15 metastatic liver lesions in a patient with pancreatic cancer was retrieved and analyzed for liver dose parameters and diaphragm dose. Serial <sup>18</sup>F-FDG PET-CT scans were reviewed for disease response assessment and left liver lobe volume. Serial laboratory records were analyzed for liver parameters.</p><p><strong>Results: </strong>Left liver lobe volume increased from 241 cm<sup>3</sup> pre-HDR-IBT to estimated 600 cm<sup>3</sup> after seven sessions of HDR-IBT. Metabolic complete response (CR) and subsequently pathological CR was confirmed in the right hepatotectomy specimen for all the 15 PET-CT avid lesions treated with HDR-IBT. Maximum diaphragm dose in a single fraction was 82 Gy. The liver parameters were stable and patient did not develop radiation induced liver disease.</p><p><strong>Discussion: </strong>This is the largest reported series of HDR-IBT to liver lesions in a single patient. This first ever reported combined treatment of immunotherapy (IT) and HDR-IBT had likely rendered this patient disease free both at local the liver and systemically. Metabolic CR by PET-CT can be seen as early as 46 days after HDR-IBT. Diaphragm can tolerate very high doses of radiation and repeated treatment.</p><p><strong>Conclusion: </strong>In this patient HDR-IBT for multiple liver lesions with IT is well tolerated. PET-CT can be used for response assessment of HDR-IBT liver. Synergistic effect of IT with HDR-IBT and it's role as bridging for liver resection has clinical potential and should be further studied in prospective trials.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"9 3","pages":"HEP44"},"PeriodicalIF":5.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/73/hep-09-44.PMC9517960.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40383805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellery Altshuler, Mahmoud Aryan, Govind Kallumkal, Hanzhi Gao, Jake Wilson, Ahmed Ouni, Edward De Leo, Wissam Hanayneh, Kelsey Pan
{"title":"Impact of β-blockers on survival outcomes in patients with unresectable hepatocellular carcinoma.","authors":"Ellery Altshuler, Mahmoud Aryan, Govind Kallumkal, Hanzhi Gao, Jake Wilson, Ahmed Ouni, Edward De Leo, Wissam Hanayneh, Kelsey Pan","doi":"10.2217/hep-2021-0010","DOIUrl":"https://doi.org/10.2217/hep-2021-0010","url":null,"abstract":"Background: β-blockers (BBs) have shown promise in improving overall survival (OS) in patients with breast, ovarian, pancreatic and lung cancer. However, few studies have evaluated the impact of BBs on unresectable hepatocellular carcinoma (HCC). Methods: The authors compared clinical data and outcomes between unresectable HCC patients based on whether they were prescribed BBs. Results: There was significantly decreased disease progression in the BB group compared with the non-BB group (22.8 vs 28.0%; p < 0.05). No difference was seen in OS or progression-free survival between groups. Those specifically on selective BBs had improved OS (hazard ratio: 0.75; 95% CI: 0.61–0.94; p = 0.01) and progression-free survival (hazard ratio: 0.66; 95% CI: 0.45–0.96; p = 0.03) compared with non-BB patients. Conclusion: Although the authors' study did not demonstrate that BBs improve OS in HCC, it did show decreased disease progression among patients with HCC who were taking BBs compared with those who were not.","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"9 2","pages":"HEP43"},"PeriodicalIF":5.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/75/hep-09-43.PMC9136628.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10601607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hepatic OncologyPub Date : 2021-09-21eCollection Date: 2021-12-01DOI: 10.2217/hep-2021-0006
Jirapa Chansangrat, Nattawut Keeratibharat
{"title":"Portal vein embolization: rationale, techniques, outcomes and novel strategies.","authors":"Jirapa Chansangrat, Nattawut Keeratibharat","doi":"10.2217/hep-2021-0006","DOIUrl":"https://doi.org/10.2217/hep-2021-0006","url":null,"abstract":"<p><p>The incidence of liver cancer has grown in the past decade, with 905,677 new cases and 830,180 deaths in 2020. According to the highest annual fatality ratio, liver cancer is the third-leading cause of cancer-related deaths worldwide. Surgical resection is the mainstay treatment for long-term survival. However, only 25% of patients are surgical candidates. Recent surgical concepts, techniques and multidisciplinary management were developed, including interventional radiology procedures that improve the management algorithm, expand the indications and limit dropouts from curative treatment. This review summarizes up-to-date information on interventional radiology in the management of liver tumors.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"8 4","pages":"HEP42"},"PeriodicalIF":5.0,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/c1/hep-08-42.PMC8577518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39701721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hepatic OncologyPub Date : 2021-09-15eCollection Date: 2021-12-01DOI: 10.2217/hep-2020-0026
Giovanni Brondani Torri, Matheus Dorigatti Soldatelli, Gustavo Felipe Luersen, Caroline Lorenzoni Almeida Ghezzi
{"title":"Imaging of chemotherapy-induced liver toxicity: an illustrated overview.","authors":"Giovanni Brondani Torri, Matheus Dorigatti Soldatelli, Gustavo Felipe Luersen, Caroline Lorenzoni Almeida Ghezzi","doi":"10.2217/hep-2020-0026","DOIUrl":"https://doi.org/10.2217/hep-2020-0026","url":null,"abstract":"<p><p>Chemotherapy is a potential cause of focal and diffuse hepatobiliary lesions. Many of these lesions may be demonstrated on imaging, especially computed tomography and MRI. Some of these lesions, especially those of steatosis and sinusoidal obstruction syndrome, are associated with a worse prognosis and risk of hepatic failure in the context of surgical management. Notably, some chemotherapy-induced hepatic alterations, such as sinusoidal obstruction syndrome, pseudocirrhosis and focal hepatopathies, may be mistakenly interpreted as signs of cancer progression, misguiding the therapeutic planning for patients receiving chemotherapy.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"8 4","pages":"HEP32"},"PeriodicalIF":5.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/ad/hep-08-32.PMC8577512.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39701719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hepatic OncologyPub Date : 2021-08-26eCollection Date: 2022-03-01DOI: 10.2217/hep-2021-0003
Sarah Ronnebaum, Abdalla Aly, Dipen Patel, Fernando Benavente, Juan-David Rueda
{"title":"Systematic literature review of trials assessing recommended systemic treatments in hepatocellular carcinoma.","authors":"Sarah Ronnebaum, Abdalla Aly, Dipen Patel, Fernando Benavente, Juan-David Rueda","doi":"10.2217/hep-2021-0003","DOIUrl":"10.2217/hep-2021-0003","url":null,"abstract":"<p><strong>Aim: </strong>To identify and evaluate the similarity of all trials assessing recommended treatments for advanced hepatocellular carcinoma.</p><p><strong>Materials & methods: </strong>Single arm and randomized trials from any phase and published any time up to February 2021 were systematically searched.</p><p><strong>Results: </strong>From 5677 records reviewed, 50 trials were included in the review, and 24 for assessed for similarity. In the first-line (1L) setting, several trials assessing sorafenib were noted for enrolling patients with more severe disease and/or performance status than other 1L trials; trials within the second-line (2L) setting were generally similar. Median survival was <2 years in all trial arms.</p><p><strong>Conclusions: </strong>Trials assessing recommended treatments are largely similar and appropriate for quantitative comparisons of several efficacy and safety outcomes.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"9 1","pages":"HEP41"},"PeriodicalIF":1.2,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/7b/hep-09-41.PMC8577513.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39613131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hepatic OncologyPub Date : 2021-08-03eCollection Date: 2021-12-01DOI: 10.2217/hep-2020-0034
Mary Wong, Jong T Kim, Brian Cox, Brent K Larson, Stacey Kim, Kevin M Waters, Eric Vail, Maha Guindi
{"title":"Evaluation of tumor mutational burden in small early hepatocellular carcinoma and progressed hepatocellular carcinoma.","authors":"Mary Wong, Jong T Kim, Brian Cox, Brent K Larson, Stacey Kim, Kevin M Waters, Eric Vail, Maha Guindi","doi":"10.2217/hep-2020-0034","DOIUrl":"https://doi.org/10.2217/hep-2020-0034","url":null,"abstract":"<p><p>While researchers know that tumor mutational burden (TMB) is low in hepatocellular carcinoma (HCC), prior studies have not investigated TMB in cirrhosis, small early HCC and progressed HCC. HCC (n = 18) and cirrhosis (n = 6) cases were identified. TMB was determined by a 1.7 megabase, 409-gene next-generation sequencing panel. TMB values were defined as the number of nonsynonymous variants per megabase of sequence. There was no significant difference between cirrhosis versus small early HCC or between cohorts when stratified by size, early versus progressed, differentiation or morphology. There was a significant difference between cirrhosis and small early HCC versus progressed HCC (p = 0.045), suggesting TMB may be related to HCC progression. TMB similarities in small early HCC and background cirrhosis suggest TMB is not a useful tool for diagnosing small early HCC. Additional study is needed to address TMB in histological and molecular subsets of HCC.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"8 4","pages":"HEP39"},"PeriodicalIF":5.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/fb/hep-08-39.PMC8577511.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39701720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transarterial chemoembolization alone or followed by bevacizumab for treatment of colorectal liver metastases.","authors":"Giammaria Fiorentini, Donatella Sarti, Michele Nardella, Riccardo Inchingolo, Massimiliano Nestola, Alberto Rebonato, Caterina Fiorentini, Camillo Aliberti, Roberto Nani, Stefano Guadagni","doi":"10.2217/hep-2020-0031","DOIUrl":"10.2217/hep-2020-0031","url":null,"abstract":"<p><strong>Aims: </strong>Bevacizumab (B) in association with systemic chemotherapy is commonly used for the treatment of colorectal cancer liver metastases. The aim of this study was to monitor tumor response, overall survival (OS) and progression-free survival (PFS) of patients with colorectal cancer liver metastases treated with transarterial chemoembolization (TACE) + B compared with TACE alone and to correlate the results with <i>KRAS</i> mutational status.</p><p><strong>Patients & methods: </strong>This was an observational multicentric case-control study (NCT03732235) on the efficacy and safety of B administered after TACE.</p><p><strong>Results: </strong>The disease control rate was significantly higher for the TACE + B than the TACE alone group (p < 0.001). <i>KRAS</i> wild-type patients had a significantly better disease control rate than those with <i>KRAS</i> mutations in the TACE + B group. Median OS and PFS were similar for the TACE + B and TACE groups, whereas median time to progression was significantly higher for the TACE + B group (p < 0.01).</p><p><strong>Conclusion: </strong>The combination of TACE with B may improve tumor response and delay disease progression.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"9 1","pages":"HEP40"},"PeriodicalIF":5.0,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/dd/hep-09-40.PMC8577510.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39701722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unresectable hepatocellular carcinoma treatment with doxorubicin-eluting polyethylene glycol microspheres: a single-center experience.","authors":"Gerardo Tovar-Felice, Andrés García-Gámez, Virgilio Benito-Santamaría, David Balaguer-Paniagua, Jordi Villalba-Auñón, Jaume Sampere-Moragues","doi":"10.2217/hep-2020-0035","DOIUrl":"https://doi.org/10.2217/hep-2020-0035","url":null,"abstract":"<p><strong>Background: </strong>Transarterial chemoembolization (TACE) is indicated for unresectable hepatocellular carcinoma.</p><p><strong>Methods: </strong>This was a retrospective study of 50 hepatocellular carcinoma patients treated with TACE using doxorubicin-loaded LifePearl™ to investigate the safety and efficacy of TACE.</p><p><strong>Results: </strong>There was no 30-day mortality, and limited adverse events were reported. At best tumor response, complete response and disease control were 58% and 94%, respectively, with a median of 4.5 months of follow-up. Median overall survival was 33.8 months. Patients with Barcelona Clinic Liver Cancer stage 0 and stage A at best tumor response showed a higher complete response rate (83%) than patients with Barcelona Clinic Liver Cancer stage B (complete response: 50%; p = 0.0414).</p><p><strong>Conclusion: </strong>Doxorubicin-loaded LifePearl™ TACE might be an effective treatment, with a good safety profile, for patients with early/intermediate-stage hepatocellular carcinoma. Further prospective data, especially with a small cohort of selected patients, are required to confirm these results.</p>","PeriodicalId":44854,"journal":{"name":"Hepatic Oncology","volume":"8 3","pages":"HEP38"},"PeriodicalIF":5.0,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/5b/hep-08-38.PMC8369521.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39336544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}