Combination locoregional and systemic therapies in hepatocellular carcinoma.

Zhong, Bin-Yan; Fan, Wenzhe; Guan, Justin J; Peng, Zhenwei; Jia, Zhongzhi; Jin, Haojie; Jin, Zhi-Cheng; Chen, Jian-Jian et al. · Lancet Gastroenterol Hepatol · 2025

review · Level V

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Abstract

Locoregional therapies play a fundamental role in the treatment of patients with early and intermediate and locally advanced hepatocellular carcinomas. With encouraging recent advances in immunotherapy-based systemic therapies, locoregional therapies are being both promoted and challenged by new systemic therapy options. Combined locoregional and systemic therapies might enhance treatment outcomes compared with either option alone. This Series paper summarises the existing data on locoregional and systemic therapies for hepatocellular carcinoma, and discusses evidence from studies investigating their combination with a focus on their synergistic efficacy and safety.

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