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find Author "ZHU Guangzhi" 1 results
  • Interpretation of “Chinese Guideline for Diagnosis and Treatment of Primary Liver Cancer (version-2022)” and “BCLC Strategy for Prognosis Prediction and Treatment Recommendation: The 2022 update”

    “Chinese Guideline for Diagnosis and Treatment of Primary Liver Cancer (version-2022)” (China Liver Cancer Staging, Abbreviation “CNLC 2022”) was updated recently and the “Barcelona Clinical Liver Cancer Strategy for Prognosis Prediction and Treatment Recommendation: The 2022 update” (Abbreviation “BCLC 2022”) was also updated in December 2021. The similarities and differences of the two guidelines were interpreted. For the BCLC stage B and C, which are equivalent to CNLC stage Ⅱa and Ⅱb and CNLC stage Ⅲa, respectively, the recommendation of surgical treatment and radiation therapy are disparate in the CNLC 2022 and BCLC 2022. For the systematic treatment of advanced liver cancer, Atezolizumab-Bevacizumab, Renvatinib and Sorafenib were both recommended as the first-line medication in the two guidelines. However, the CNLC 2022 is more flexible than BCLC 2022, which provides more treatment options for Chinese liver cancer patients. It is worth paying attention to two important new concepts proposed in the BCLC 2022: stage migration during treatment and untreatable progression. The BCLC stage B was divided into three subgroups according to tumor burden and liver function and different clinical pathways were recommended in the BCLC 2022.

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