Objective:Cancer stem cells(CSCs)have been the focus of several studies because oftheir involvement in cancer initiation and progression.CSCs were identified in 28%to 50%of hepatocellular carcinomas(HCCs).The origin o...Objective:Cancer stem cells(CSCs)have been the focus of several studies because oftheir involvement in cancer initiation and progression.CSCs were identified in 28%to 50%of hepatocellular carcinomas(HCCs).The origin of CSCs is still unclear,but it has been recently suggested that CSCs could originate from the transformation of liver progenitor cells(LPCs)during chronic liver inflammation.展开更多
Background and Objective:Selective internal radiation therapy(SIRT)represents an endovascular treatment option for patients with hepatocellular carcinoma(HCC).Its use is widely recognized in the intermediate and advan...Background and Objective:Selective internal radiation therapy(SIRT)represents an endovascular treatment option for patients with hepatocellular carcinoma(HCC).Its use is widely recognized in the intermediate and advanced HCC,but it has become more prevalent in recent years in different Barcelona Clinic Liver Cancer(BCLC)stages.The aim of this review is to summarize the role of SIRT and its clinical implications through different stages of HCC.Methods:A literature review of papers on this topic was performed using PubMed MEDLINE,focusing exclusively on the role of yttrium-90 SIRT across all BCLC stages and comparing it with other treatments.Only English-language papers currently available until September 2023 were considered.Key Content and Findings:Many studies have shown that SIRT is a promising tool with multiple uses,such as tumour control in the context of bridge-to-liver transplantation or resection,tumour downstaging,and curative therapy in selected patients.Therefore,according to the recent update of BCLC staging system criteria,SIRT now emerges as a potential curative treatment for early-stage HCC patients,serving as an alternative when ablation or resection is not feasible.It is also a promising treatment compared to transarterial chemoembolization(TACE)as well as in combination with immunotherapies.Conclusions:SIRT is a safe and effective treatment for selected patients at all BCLC stages of HCC.Therefore,due to its numerous advantages,SIRT may prove useful in many complex HCC treatment situations in the near future.展开更多
文摘Objective:Cancer stem cells(CSCs)have been the focus of several studies because oftheir involvement in cancer initiation and progression.CSCs were identified in 28%to 50%of hepatocellular carcinomas(HCCs).The origin of CSCs is still unclear,but it has been recently suggested that CSCs could originate from the transformation of liver progenitor cells(LPCs)during chronic liver inflammation.
文摘Background and Objective:Selective internal radiation therapy(SIRT)represents an endovascular treatment option for patients with hepatocellular carcinoma(HCC).Its use is widely recognized in the intermediate and advanced HCC,but it has become more prevalent in recent years in different Barcelona Clinic Liver Cancer(BCLC)stages.The aim of this review is to summarize the role of SIRT and its clinical implications through different stages of HCC.Methods:A literature review of papers on this topic was performed using PubMed MEDLINE,focusing exclusively on the role of yttrium-90 SIRT across all BCLC stages and comparing it with other treatments.Only English-language papers currently available until September 2023 were considered.Key Content and Findings:Many studies have shown that SIRT is a promising tool with multiple uses,such as tumour control in the context of bridge-to-liver transplantation or resection,tumour downstaging,and curative therapy in selected patients.Therefore,according to the recent update of BCLC staging system criteria,SIRT now emerges as a potential curative treatment for early-stage HCC patients,serving as an alternative when ablation or resection is not feasible.It is also a promising treatment compared to transarterial chemoembolization(TACE)as well as in combination with immunotherapies.Conclusions:SIRT is a safe and effective treatment for selected patients at all BCLC stages of HCC.Therefore,due to its numerous advantages,SIRT may prove useful in many complex HCC treatment situations in the near future.
