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Article ; Online: European Society of Organ Transplantation (ESOT) Consensus Report on Downstaging, Bridging and Immunotherapy in Liver Transplantation for Hepatocellular Carcinoma.

Claasen, Marco Petrus Adrianus Wilhelmus / Sneiders, Dimitri / Rakké, Yannick Sebastiaan / Adam, René / Bhoori, Sherrie / Cillo, Umberto / Fondevila, Constantino / Reig, Maria / Sapisochin, Gonzalo / Tabrizian, Parissa / Toso, Christian

Transplant international : official journal of the European Society for Organ Transplantation

2023  Volume 36, Page(s) 11648

Abstract: Liver transplantation offers the best chance of cure for most patients with non-metastatic hepatocellular carcinoma (HCC). Although not all patients with HCC are eligible for liver transplantation at diagnosis, some can be downstaged using locoregional ... ...

Abstract Liver transplantation offers the best chance of cure for most patients with non-metastatic hepatocellular carcinoma (HCC). Although not all patients with HCC are eligible for liver transplantation at diagnosis, some can be downstaged using locoregional treatments such as ablation and transarterial chemoembolization. These aforementioned treatments are being applied as bridging therapies to keep patients within transplant criteria and to avoid them from dropping out of the waiting list while awaiting a liver transplant. Moreover, immunotherapy might have great potential to support downstaging and bridging therapies. To address the contemporary status of downstaging, bridging, and immunotherapy in liver transplantation for HCC, European Society of Organ Transplantation (ESOT) convened a dedicated working group comprised of experts in the treatment of HCC to review literature and to develop guidelines pertaining to this cause that were subsequently discussed and voted during the Transplant Learning Journey (TLJ) 3.0 Consensus Conference that took place in person in Prague. The findings and recommendations of the working group on Downstaging, Bridging and Immunotherapy in Liver Transplantation for Hepatocellular Carcinoma are presented in this article.
MeSH term(s) Humans ; Carcinoma, Hepatocellular/surgery ; Carcinoma, Hepatocellular/pathology ; Liver Neoplasms/surgery ; Liver Neoplasms/pathology ; Liver Transplantation/adverse effects ; Treatment Outcome ; Chemoembolization, Therapeutic/adverse effects ; Neoadjuvant Therapy/adverse effects ; Neoplasm Staging ; Immunotherapy
Language English
Publishing date 2023-09-14
Publishing country Switzerland
Document type Journal Article
ZDB-ID 639435-8
ISSN 1432-2277 ; 0934-0874
ISSN (online) 1432-2277
ISSN 0934-0874
DOI 10.3389/ti.2023.11648
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