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Stereotactic body radiotherapy plus lenvatinib and sintilimab with and without transarterial embolization for advanced hepatocellular carcinoma with portal vein tumor thrombus: a dual-center, propensi

2 months ago
  • #immunotherapy
  • #hepatocellular carcinoma
  • #locoregional therapy
  • 研究评估SBRT联合仑伐替尼和信迪利单抗±TAE治疗合并门静脉癌栓的晚期肝癌疗效
  • 204例患者分析显示:TAE组中位无进展生存期更长(11.0 vs 6.0个月),局部控制率有改善趋势
  • TAE组与非TAE组总生存期无显著差异(19.0 vs 18.0个月)
  • TAE被确定为降低疾病进展风险的独立预测因子(风险比=0.52)
  • 两组客观缓解率及≥3级不良事件发生率相似
  • 研究证实靶向免疫治疗联合双重局部治疗对合并门静脉癌栓的晚期肝癌安全可行