Adjuvant and Neoadjuvant Treatments for Resectable Hepatocellular Carcinoma

Curr Oncol Rep. 2023 Oct;25(10):1191-1201. doi: 10.1007/s11912-023-01455-9. Epub 2023 Sep 9.

Abstract

Purpose of review: This review provides an update on the developments of adjuvant and neoadjuvant liver-directed and systemic therapy options for patients with resectable hepatocellular carcinoma.

Recent findings: Data on liver-directed treatment in the adjuvant and neoadjuvant settings are sparse and results are conflicting; many studies suggest that optimizing patient selection criteria is a key milestone required to improve study design and clinical benefit to patients. Systemic treatment options are primarily focused on investigation of anti-PD-1/L1 immunotherapeutic agents, either alone or in combination with other drugs. Numerous clinical trials in both adjuvant and neoadjuvant settings are in progress. Exploration of liver-directed and systemic treatment options for adjuvant and neoadjuvant treatment of patients with resectable hepatocellular carcinoma has the potential to improve clinical outcomes for this patient population.

Keywords: Adjuvant; Hepatocellular carcinoma; Liver-directed treatment; Neoadjuvant; Resectable; Systemic treatment.

Publication types

  • Review