国际肿瘤学杂志 ›› 2024, Vol. 51 ›› Issue (8): 520-525.doi: 10.3760/cma.j.cn371439-20240328-00087

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联合应用免疫检查点抑制剂在肝细胞癌合并门静脉癌栓治疗中的研究进展

莫慧敏1, 蔡宇森2, 张增瑞2, 朱文钿2()   

  1. 1广东医科大学第一临床学院,湛江 524000
    2广东医科大学附属肇庆市第一人民医院普外科,肇庆 526000
  • 收稿日期:2024-03-28 修回日期:2024-04-29 出版日期:2024-08-08 发布日期:2024-09-24
  • 通讯作者: 朱文钿,Email:zq2860676@163.com

Research progress of the combined application of immune checkpoint inhibitors in the treatment of hepatocellular carcinoma with portal vein tumor thrombus

Mo Huimin1, Cai Yusen2, Zhang Zengrui2, Zhu Wentian2()   

  1. 1First Clinical Medical College of Guangdong Medical University,Zhanjiang 524000,China
    2Department of General Surgery,First People's Hospital of Zhaoqing Affiliated to Guangdong Medical University,Zhaoqing 526000,China
  • Received:2024-03-28 Revised:2024-04-29 Online:2024-08-08 Published:2024-09-24
  • Contact: Zhu Wentian,Email:zq2860676@163.com

摘要:

门静脉癌栓(PVTT)是肝细胞癌(HCC)较为常见的并发症之一,其死亡率较高。多项研究表明,积极处理并实施有效治疗,可以显著改善HCC合并PVTT患者的生命质量及延长生存期。近年来,随着分子生物学与分子免疫学的不断发展,治疗晚期肝癌的方法从单药转向联合治疗,其中,免疫检查点抑制剂与其他全身或局部治疗的联合应用备受关注,这种治疗策略已经在一些大规模临床试验中显示出良好的疗效。随着相关研究不断深入,这种治疗方案将为此类患者带来更多希望和机会。

关键词: 癌, 肝细胞, 门静脉癌栓, 免疫检查点抑制剂, 联合治疗

Abstract:

Portal vein tumor thrombus (PVTT) is one of the common complications of hepatocellular carcinoma (HCC) with a high mortality rate. Several studies have shown that active implementation of effective treatment can significantly improve the quality of life and prolong survival of HCC patients with PVTT. In recent years,with the continuous development of molecular biology and molecular immunology,the treatment of advanced liver cancer has shifted from single agent to combination therapy,among which,the combination of immune checkpoint inhibitors and other systemic or local therapies has attracted much attention. This treatment strategy has shown good efficacy in some large-scale clinical trials. With the deepening of relevant research,it is believed that this treatment scheme will bring more hope and opportunities to such patients.

Key words: Carcinoma, hepatocellular, Portal vein cancer thrombus, Immune checkpoint inhibitors, Combination therapy