Favorable response of hepatocellular carcinoma with portal vein tumor thrombosis after radiotherapy combined with atezolizumab plus bevacizumab

Recently, the superiority of atezolizumab plus bevacizumab (AteBeva) over sorafenib was proven in the IMbrave150 trial, and AteBeva became the first-line systemic treatment for untreated, unresectable hepatocellular carcinoma (HCC). While the results are encouraging, more than half of patients with...

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Main Authors: Yong Tae Kim (Author), Jina Kim (Author), Jinsil Seong (Author)
Format: Book
Published: Korean Liver Cancer Association, 2023-03-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Yong Tae Kim  |e author 
700 1 0 |a Jina Kim  |e author 
700 1 0 |a Jinsil Seong  |e author 
245 0 0 |a Favorable response of hepatocellular carcinoma with portal vein tumor thrombosis after radiotherapy combined with atezolizumab plus bevacizumab 
260 |b Korean Liver Cancer Association,   |c 2023-03-01T00:00:00Z. 
500 |a 2288-8128 
500 |a 2383-5001 
500 |a 10.17998/jlc.2023.02.27 
520 |a Recently, the superiority of atezolizumab plus bevacizumab (AteBeva) over sorafenib was proven in the IMbrave150 trial, and AteBeva became the first-line systemic treatment for untreated, unresectable hepatocellular carcinoma (HCC). While the results are encouraging, more than half of patients with advanced HCC are still being treated in a palliative setting. Radiotherapy (RT) is known to induce immunogenic effects that may enhance the therapeutic efficacy of immune checkpoint inhibitors. Herein, we report the case of a patient with advanced HCC with massive portal vein tumor thrombosis treated with a combination of RT and AteBeva, who showed near complete response in tumor thrombosis and favorable response to HCC. Although this is a rare case, it shows the importance of reducing the tumor burden via RT to combination immunotherapy in patients with advanced HCC. 
546 |a EN 
690 |a hepatocellular carcinoma 
690 |a atezolizumab 
690 |a bevacizumab 
690 |a radiotherapy 
690 |a case reports 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Journal of Liver Cancer, Vol 23, Iss 1, Pp 225-229 (2023) 
787 0 |n http://e-jlc.org/upload/pdf/jlc-2023-02-27.pdf 
787 0 |n https://doaj.org/toc/2288-8128 
787 0 |n https://doaj.org/toc/2383-5001 
856 4 1 |u https://doaj.org/article/70af4ccb51a94de3adc9c754d179136a  |z Connect to this object online.