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Management of Side Effects of Systemic Therapies for Hepatocellular Carcinoma: Guide for the Hepatologist

  • Adam C. Winters
  • , Fatima Bedier
  • , Sammy Saab

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Historically, systemic treatment of advanced hepatocellular carcinoma was limited to the tyrosine kinase inhibitor sorafenib. With the recent approval of several new agents the armamentarium of treatment options available to providers and patients has expanded. Although these promising advances offer hope for patients with advanced hepatocellular carcinoma, they also present new and challenging adverse effects that threaten to limit their efficacy. Immunotherapy with checkpoint inhibitors introduce immune-related adverse events, which may affect a wide array of organ systems. With prompt recognition, however, common side effects of systemic therapies for hepatocellular carcinoma are predictable, manageable, and many improve with appropriate intervention.

Original languageEnglish
Pages (from-to)755-769
Number of pages15
JournalClinics in Liver Disease
Volume24
Issue number4
DOIs
StatePublished - Nov 2020
Externally publishedYes

Keywords

  • Checkpoint inhibitors
  • Chemotherapy
  • Hepatocellular carcinoma
  • Immune-related adverse effects
  • Liver cancer
  • Liver cirrhosis
  • Tyrosine kinase inhibitors

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