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• W3204684414 endingPage "16" @default.
• W3204684414 startingPage "1" @default.
• W3204684414 abstract "The annual incidence of hepatocellular carcinoma (HCC) continues to rise. Over the last two decades, liver transplantation (LT) has become the preferable treatment of HCC, when feasible and strict selection criteria are met. With the rise in HCC-related LT, compounded by downstaging techniques and expansion of transplant selection criteria, a parallel increase in number of post-transplantation HCC recurrence is expected. Additionally, in the context of an immunosuppressed transplant host, recurrences may behave aggressively and more challenging to manage, resulting in poor prognosis. Despite this, no consensus or best practice guidelines for post-transplantation cancer surveillance and recurrence management for HCC currently exist. Studies with adequate population sizes and high-level evidence are lacking, and the role of systemic and locoregional therapies for graft and extrahepatic recurrences remains under debate. This review seeks to summarize the existing literature on post-transplant HCC surveillance and recurrence management. It highlights the value of early tumour detection, re-evaluating the immunosuppression regimen, and staging to differentiate disseminated recurrence from intrahepatic or extrahepatic oligo-recurrence. This ultimately guides decision-making and maximizes treatment effect. Treatment recommendations specific to recurrence type are provided based on currently available locoregional and systemic therapies." @default.
• W3204684414 created "2021-10-11" @default.
• W3204684414 creator A5000789082 @default.
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• W3204684414 creator A5058478839 @default.
• W3204684414 creator A5059375378 @default.
• W3204684414 creator A5079014185 @default.
• W3204684414 date "2022-01-01" @default.
• W3204684414 modified "2023-10-05" @default.
• W3204684414 title "The management of post-transplantation recurrence of hepatocellular carcinoma" @default.
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