对高风险肝细胞癌的辅助治疗方案的比较:贝叶斯网络元分析和系统审查
Jiahao Li1, Yingnan Liu2, Yuqi Qiu1
1Department of Interventional Therapy, The First Hospital of Jilin University, Changchun, Jilin, China.
Frontiers in immunology
|November 26, 2024
概括
肝细胞癌 (HCC) 的复发率很高. 免疫疗法和放射疗法在延缓复发方面表现有前途,但为了最佳的辅助治疗策略,需要安全性和进一步的证据.
科学领域:
- 肝细胞癌 (HCC) 研究研究
- 在瘤学瘤学.
- 医学治疗学 医学治疗学
背景情况:
- 肝细胞癌 (HCC) 的5年复发率很高,高达70%.
- 患有高风险复发因素的患者面临着明显较差的预后.
- 使用辅助疗法,包括跨动脉化学栓塞 (TACE),肝动脉输液化疗 (HAIC),放射治疗和免疫治疗.
结论:
- 虽然免疫疗法可以与局部区域疗法相比较,可以延迟复发,但其较高的不良事件发生率令人担忧.
- 与辅助性TACE相比,辅助性放射治疗在延迟瘤复发方面表现出更好的疗效.
- 需要进一步的III期临床试验证据来充分支持辅助放射治疗对TACE的疗效.
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