Recent developments and ongoing trials in transplant oncology.

cholangiocarcinoma colorectal liver metastasis hepatocellular carcinoma liver transplantation neuroendocrine liver metastasis transplant oncology

Journal

Liver international : official journal of the International Association for the Study of the Liver
ISSN: 1478-3231
Titre abrégé: Liver Int
Pays: United States
ID NLM: 101160857

Informations de publication

Date de publication:
10 2020
Historique:
received: 05 06 2020
revised: 17 07 2020
accepted: 21 07 2020
entrez: 6 10 2020
pubmed: 7 10 2020
medline: 22 6 2021
Statut: ppublish

Résumé

Over the past two decades since the introduction of the Milan criteria, the field of transplant oncology has undergone a rapid development with a rising proportion of liver transplantations being performed for oncological indications. For many patients with liver tumours, transplantation represents the only chance for cure. However, many challenges remain, such as the adequate patient selection, management of post-transplant recurrence and refinement of neoadjuvant treatment protocols. This review provides an overview of the current state of the art of liver transplantation for oncological indications such as hepatocellular carcinoma, cholangiocarcinoma, colorectal liver metastasis and metastatic neuroendocrine tumours. We also summarize the ongoing research and explore future trends. Clinical trials are currently studying new diagnostic modalities, innovative pharmacological treatments, novel surgical techniques, downstaging regimens and new indications for liver transplantation. These emerging results will continue to shape the field of transplant oncology and provide us with the necessary tools to better select, treat and follow patients with liver tumours qualifying for liver transplantation.

Identifiants

pubmed: 33021344
doi: 10.1111/liv.14621
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2326-2344

Informations de copyright

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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Auteurs

Beat Moeckli (B)

Department of Visceral and Transplantation Surgery, University of Geneva Hospitals, Geneva, Switzerland.

Tommy Ivanics (T)

Multi-Organ Transplant Program, University Health Network, Toronto, ON, Canada.

Marco Claasen (M)

Multi-Organ Transplant Program, University Health Network, Toronto, ON, Canada.
Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Christian Toso (C)

Department of Visceral and Transplantation Surgery, University of Geneva Hospitals, Geneva, Switzerland.

Gonzalo Sapisochin (G)

Multi-Organ Transplant Program, University Health Network, Toronto, ON, Canada.
Division of General Surgery, University Health Network, Toronto, ON, Canada.

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