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Liver transplantation in unresectable intrahepatic cholangiocarcinoma following neoadjuvant chemotherapy and SIRT - PubMed

5 hours ago
  • #Neoadjuvant therapy
  • #Intrahepatic cholangiocarcinoma
  • #Liver transplantation
  • Liver transplantation (LT) was evaluated for unresectable intrahepatic cholangiocarcinoma (iCCA) after neoadjuvant chemotherapy and selective internal radiation therapy (SIRT).
  • 6 patients underwent LT between 2010-2024, with a median follow-up of 4.9 years.
  • Five-year overall survival was 100%, while five-year progression-free survival was 44.4%.
  • 3 patients experienced iCCA recurrence post-LT, but no deaths from tumor progression were reported.
  • The study suggests LT may be reconsidered for highly selected iCCA patients with sustained disease control after neoadjuvant therapy.
  • Prospective trials are needed to further evaluate this neoadjuvant combination approach.