中国实用外科杂志

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肝动脉灌注化疗在肝癌转化治疗中的作用

徐    立,陈敏山胡自力   

  1. 中山大学肿瘤防治中心肝脏外科  华南肿瘤学国家重点实验室  肿瘤协同创新中心,广东广州510060
  • 出版日期:2021-03-01 发布日期:2021-03-18

  • Online:2021-03-01 Published:2021-03-18

摘要: 根治性切除是肝癌病人得以长期生存的主要治疗手段,然而我国肝癌诊断时大部分为中晚期,可行根治性切除者<30%。众多学者尝试利用多种方式对初始不可切除肝癌进行转化治疗,力争缩小肿瘤或使肝癌降期,以创造更多手术切除机会。近年来,奥沙利铂/亚叶酸钙/5-氟尿嘧啶(FOLFOX)方案肝动脉灌注化疗在不可切除肝癌病人中呈现出明显优于传统方案的有效率及安全性,大大提高了中晚期肝癌病人的根治性手术切除率,以其为核心的综合治疗在肝癌病人转化治疗中发挥着日益重要的作用。

关键词: 肝细胞癌, 肝动脉灌注化疗, 转化治疗

Abstract: The role of hepatic arterial infusion chemotherapy in conversion therapy for hepatocellular carcinoma        XU Li, CHEN Min-shan, HU Zi-li. Department of Liver Surgery, Sun Yat-sen University Cancer Center;State Key Laboratory of Oncology in Southern China;Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060,China
Corresponding author:CHEN Min-shan, E-mail:chenmsh@sysucc.org.cn
Abstract    Radical resection is the main treatment for patients with hepatocellular carcinoma(HCC)who got long term survival. However Chinese patients with HCC are often diagnosed at intermediate-advanced stage,and less than 30% of them could receive radical resection. Numerous efforts have been made to shrink or down-staging HCC in order to create the chances for radical resection. In recent years,hepatic arterial infusion chemotherapy(HAIC)with oxaliplatin/CF/5-FU(FOLFOX regimen)has showed significant superiority in tumor response rate and safety,and created better chances for radical resection of HCC as a conversion therapy. Combined treatments with FOLFOX-HAIC play more and more important roles in HCC therapy.

Key words: hepatocellular carcinoma, hepatic arterial infusion chemotherapy, conversion therapy