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Updated: Jul 31, 2026

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
Published on: July 31, 2016
Hepatic malignancies
J I Tsao1, J DeSanctis, R L Rossi
1Department of Surgery, Tufts University School of Medicine, Burlington, Massachusetts, USA.
Abstract:
The battle against malignancies of the liver is far from over, although tremendous strides have been made in the past decade, such as improved diagnostic capabilities, safe surgical resection, availability of safe nonsurgical ablative modalities, multimodality therapy, and aggressive approach to recurrent disease. Even after the best attempts at curative treatment, recurrence of primary and secondary malignancies of the liver continues to be the cause of demise for more than 70% of treated patients. The battle continues in the laboratories, where investigations are focused on delineating the pathophysiology of cancer on the molecular and genetic levels and mapping the patterns of cancer emergence and spread. The new millennium holds promise for formulating therapies that may improve disease-free survival for patients with malignancies of the liver.
Insights
Despite advances in liver cancer treatment, recurrence remains a major challenge. Ongoing laboratory research into molecular and genetic factors offers hope for improved therapies and patient survival.
Area of Science:
- Hepatobiliary Malignancies
- Cancer Research
- Molecular Oncology
Background:
- Significant progress in liver cancer treatment over the last decade, including diagnostics, surgical resection, ablative therapies, and multimodal approaches.
- Despite advancements, over 70% of treated patients experience recurrence, leading to mortality.
- Liver cancer recurrence remains a critical unmet need in oncology.
Purpose of the Study:
- To review current therapeutic strategies for liver malignancies.
- To highlight the persistent challenge of tumor recurrence after treatment.
- To emphasize the importance of ongoing laboratory research for future therapeutic development.
Main Methods:
- Review of recent advancements in liver cancer diagnostics and treatment modalities.
- Analysis of recurrence patterns and outcomes in treated patients.
- Exploration of current laboratory investigations into cancer pathophysiology.
Main Results:
- Current treatments have improved but have not eradicated the problem of liver cancer recurrence.
- Laboratory research is actively investigating the molecular and genetic underpinnings of liver cancer.
- Understanding cancer emergence and spread is key to developing novel therapies.
Conclusions:
- Liver cancer recurrence remains a significant cause of mortality despite therapeutic progress.
- Further research into molecular and genetic mechanisms is crucial for advancing treatment.
- Future therapies hold promise for improving disease-free survival in liver cancer patients.
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