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Chinese expert consensus on refined diagnosis,treatment,and management of advanced primary liver cancer(2023 edition)

摘要:

Hepatocellular carcinoma(HCC),commonly known as primary liver cancer,is a major cause of malignant tumors and cancer-related deaths in China,accounting for approximately 85%of all cancer cases in the country.Several guidelines have been used to diagnose and treat liver cancer.However,these guidelines provide a broad definition for classifying advanced liver cancer,with an emphasis on a singular approach,without considering treatment options for individual patients.Therefore,it is necessary to establish a comprehensive and practical expert consensus,specifically for China,to enhance the diagnosis and treatment of HCC using the Delphi method.The classification criteria were refined for Chinese patients with HCC,and the corresponding optimal treatment regimen recommendations were developed.These recommendations took into account various factors,including tumor characteristics,vascular tumor thrombus grade,distant metastasis,liver function status,portal hypertension,and the hepatitis B virus replication status of patients with primary HCC,along with treatment prognosis.The findings and rec-ommendations provide detailed,scientific,and reasonable individualized diagnosis and treatment strategies for clinicians.

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作者: Xiufeng Liu [1] Feng Xia [2] Yue Chen [3] Huichuan Sun [4] Zhengqiang Yang [5] Bo Chen [6] Ming Zhao [7] Xinyu Bi [8] Tao Peng [9] Aizier Ainiwaer [3] Zhiwen Luo [8] Fusheng Wang [10] Yinying Lu [11] National Clinical Research Center for Infectious Diseases Society of Hepatology,Beijing Medical Association Translational Medicine Branch,China Association of Gerontology and Geriatrics
作者单位: Department of Medical Oncology,Bayi Hospital Affiliated to Nanjing Chinese Medical University Nanjing,Jiangsu,China [1] Department of Hepatobiliary Surgery,Southwest Hospital,Army Medical University Chongqing,China [2] Senior Department of Hepatology,The Fifth Medical Center of PLA General Hospital,Beijing,China [3] Department of Liver Surgery and Transplantation,Liver Cancer Institute,Zhongshan Hospital,Fudan University,Shanghai,China [4] Department of Interventional Therapy,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,China [5] Department of Radiation Oncology,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,China [6] Department of Minimally Invasive Interventional Therapy,Liver Cancer Study and Service Group,Sun Yat-sen University Cancer Center,Guangzhou,Guangdong,China [7] Department of Hepatobiliary Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,China [8] Department of Hepatobiliary Surgery,The First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,China [9] Senior Department of Infectious Diseases,The Fifth Medical Center of PLA General Hospital,Beijing,China [10] Comprehensive Liver Cancer Center,The Fifth Medical Center of PLA General Hospital,Beijing,China [11]
栏目名称: PRACTICE GUIDELINE
DOI: 10.1016/j.livres.2024.05.001
发布时间: 2024-07-16
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