Favorable response of hepatocellular carcinoma with portal vein tumor thrombosis after radiotherapy combined with atezolizumab plus bevacizumab

Autor: Yong Tae Kim, Jina Kim, Jinsil Seong
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Liver Cancer, Vol 23, Iss 1, Pp 225-229 (2023)
Druh dokumentu: article
ISSN: 2288-8128
2383-5001
DOI: 10.17998/jlc.2023.02.27
Popis: Recently, the superiority of atezolizumab plus bevacizumab (AteBeva) over sorafenib was proven in the IMbrave150 trial, and AteBeva became the first-line systemic treatment for untreated, unresectable hepatocellular carcinoma (HCC). While the results are encouraging, more than half of patients with advanced HCC are still being treated in a palliative setting. Radiotherapy (RT) is known to induce immunogenic effects that may enhance the therapeutic efficacy of immune checkpoint inhibitors. Herein, we report the case of a patient with advanced HCC with massive portal vein tumor thrombosis treated with a combination of RT and AteBeva, who showed near complete response in tumor thrombosis and favorable response to HCC. Although this is a rare case, it shows the importance of reducing the tumor burden via RT to combination immunotherapy in patients with advanced HCC.
Databáze: Directory of Open Access Journals