Prognosis

The prognosis for liver cancer is weak. Only 5% to 15% of patients are eligible for surgical removal, suitable only for early-stage patients. Due to reduced hepatic regenerative capacity, right hepatectomy typically without cirrhosiscarries a higher risk for postoperative complications than left hepatectomy.
Treatment options for more advanced stages include the following:
(a) Transarterial chemoembolization (TACE), which leads to a 23% improvement in the 2 -year survival compared to conservative therapy for intermediate stage HCC patients.
(b) Oral dosing with sorafenib, a kinase inhibitor and the most accepted option for late-stage cases. However, fewer than one-third of patients benefit from the treatment, and drug resistance is evident within six months of initiating the therapy.
References
[1] T. Longerich, “Hepatocellular carcinoma,” Pathologe. 2020, doi: 10.1007/s00292-020-00801-z.
[2] A. S. Khan and L. A. Dageforde, “Cholangiocarcinoma,” Surgical Clinics of North America. 2019, doi: 10.1016/j.suc.2018.12.004.
[3] W. J. S. de Villiers, “Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management???2 Volume Set, 7th Edition,” Shock, 2003, doi: 10.1097/00024382-200304000-00021.
[4] A. K. Singh, R. Kumar, and A. K. Pandey, “Hepatocellular Carcinoma: Causes, Mechanism of Progression and Biomarkers,” Curr. Chem. Genomics Transl. Med., 2018, doi: 10.2174/2213988501812010009.
[5] J. Gao et al., “Risk factors of hepatocellular carcinoma – Current status and perspectives,” Asian Pacific Journal of Cancer Prevention. 2012, doi: 10.7314/APJCP.2012.13.3.743.
[6] T. D. Boyer, T. L. Wright, and M. P. Manns, Zakim and Boyer´s HEPATOLOGY. A textbook of liver disease. 2006.
[7] J. Bruix, M. Reig, and M. Sherman, “Evidence-Based Diagnosis, Staging, and Treatment of Patients with Hepatocellular Carcinoma,” Gastroenterology. 2016, doi: 10.1053/j.gastro.2015.12.041.
[8] W. Wang and C. Wei, “Advances in the early diagnosis of hepatocellular carcinoma,” Genes and Diseases. 2020, doi: 10.1016/j.gendis.2020.01.014.
[9] D. Anwanwan, S. K. Singh, S. Singh, V. Saikam, and R. Singh, “Challenges in liver cancer and possible treatment approaches,” Biochimica et Biophysica Acta – Reviews on Cancer. 2020, doi: 10.1016/j.bbcan.2019.188314.
[10] J. K. Heimbach et al., “AASLD guidelines for the treatment of hepatocellular carcinoma,” Hepatology, 2018, doi: 10.1002/hep.29086.
[11] Z. Ren, X. Ma, Z. Duan, and X. Chen, “Diagnosis, Therapy, and Prognosis for Hepatocellular Carcinoma,” Analytical Cellular Pathology. 2020, doi: 10.1155/2020/8157406.