The Role of Bridging Therapy in Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver accounting for 7% of all cancers worldwide. Most cases of HCC develop within an established background of chronic liver disease. For that reason, liver resection is only possible in selected patients. Liver transplanta...

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Main Authors: Roberto Galuppo, Angie McCall, Roberto Gedaly
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Hepatology
Online Access:http://dx.doi.org/10.1155/2013/419302
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author Roberto Galuppo
Angie McCall
Roberto Gedaly
author_facet Roberto Galuppo
Angie McCall
Roberto Gedaly
author_sort Roberto Galuppo
collection DOAJ
description Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver accounting for 7% of all cancers worldwide. Most cases of HCC develop within an established background of chronic liver disease. For that reason, liver resection is only possible in selected patients. Liver transplantation has become the treatment of choice in patients with HCC, end-stage liver disease, and significant portal hypertension. Shortage of organ donors has resulted in overall increase of waiting list time with increased risk of dropout due to tumor progression. Neoadjuvant therapies have emerged as an alternative to control tumor growth in patients while waiting. The aim of this study is to review the literature on the role of bridging therapy and downstaging prior to liver transplantation in patients with HCC. We are also presenting our single-center experience of 96 patients undergoing transplantation for HCC with and without bridging therapy.
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spelling doaj-art-e7fc0f3da67e4946ab97a0b915670a3c2025-02-03T01:31:40ZengWileyInternational Journal of Hepatology2090-34482090-34562013-01-01201310.1155/2013/419302419302The Role of Bridging Therapy in Hepatocellular CarcinomaRoberto Galuppo0Angie McCall1Roberto Gedaly2Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536-0293, USADepartment of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536-0293, USADepartment of Surgery, College of Medicine, University of Kentucky, Lexington, KY 40536-0293, USAHepatocellular carcinoma (HCC) is the most common primary malignancy of the liver accounting for 7% of all cancers worldwide. Most cases of HCC develop within an established background of chronic liver disease. For that reason, liver resection is only possible in selected patients. Liver transplantation has become the treatment of choice in patients with HCC, end-stage liver disease, and significant portal hypertension. Shortage of organ donors has resulted in overall increase of waiting list time with increased risk of dropout due to tumor progression. Neoadjuvant therapies have emerged as an alternative to control tumor growth in patients while waiting. The aim of this study is to review the literature on the role of bridging therapy and downstaging prior to liver transplantation in patients with HCC. We are also presenting our single-center experience of 96 patients undergoing transplantation for HCC with and without bridging therapy.http://dx.doi.org/10.1155/2013/419302
spellingShingle Roberto Galuppo
Angie McCall
Roberto Gedaly
The Role of Bridging Therapy in Hepatocellular Carcinoma
International Journal of Hepatology
title The Role of Bridging Therapy in Hepatocellular Carcinoma
title_full The Role of Bridging Therapy in Hepatocellular Carcinoma
title_fullStr The Role of Bridging Therapy in Hepatocellular Carcinoma
title_full_unstemmed The Role of Bridging Therapy in Hepatocellular Carcinoma
title_short The Role of Bridging Therapy in Hepatocellular Carcinoma
title_sort role of bridging therapy in hepatocellular carcinoma
url http://dx.doi.org/10.1155/2013/419302
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