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Hepatobiliary Cancers, Version 1.2017: Featured Updates to the NCCN Guidelines

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TLDR
The NCCN Guidelines Insights summarize the panel's discussion and most recent recommendations regarding locoregional therapy for treatment of patients with hepatocellular carcinoma.

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Liver Resection and Surgical Strategies for Management of Primary Liver Cancer.

TL;DR: For both diseases, onco-surgical strategies including portal vein embolization and parenchymal-sparing resections have increased the number of patients eligible for curative liver resection by improving patient outcomes.
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Surgery for cholangiocarcinoma.

TL;DR: This review addresses several challenges in surgical management of cholangiocarcinoma, including the high post‐operative mortality that has decreased in very high volume Asian centres, but remains about 10% in many Western referral centres.
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Advances in the early diagnosis of hepatocellular carcinoma.

Weiyi Wang, +1 more
- 27 Jan 2020 - 
TL;DR: The progress made in HCC diagnostics is reviewed, with a focus on emerging imaging techniques and biomarkers for early disease diagnosis.
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Molecular targeted and immune checkpoint therapy for advanced hepatocellular carcinoma.

TL;DR: Despite phase III trials for nivolumab and pembrolizumab, the primary endpoints of improved OS were not statistically significant, immune PD-1/PD-L1 checkpoint therapy remains to be further investigated.
References
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Modified RECIST (mRECIST) Assessment for Hepatocellular Carcinoma

TL;DR: A group of experts developed a set of guidelines aimed at providing a common framework for the design of clinical trials in HCC and adapted the concept of viable tumor-tumoral tissue showing uptake in arterial phase of contrast-enhanced radiologic imaging techniques-to formally amend RECIST, referred to herein as the modified RECIST assessment (mRECIST).
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Arterial embolisation or chemoembolisation versus symptomatic treatment in patients with unresectable hepatocellular carcinoma: a randomised controlled trial.

TL;DR: Chemoembolisation improved survival of stringently selected patients with unresectable hepatocellular carcinoma and was associated with a significantly lower rate of portal-vein invasion than conservative treatment.
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Nonalcoholic fatty liver, steatohepatitis, and the metabolic syndrome

TL;DR: The presence of multiple metabolic disorders is associated with a potentially progressive, severe liver disease and the increasing prevalence of obesity, coupled with diabetes, dyslipidemia, hypertension, and ultimately the metabolic syndrome puts a very large population at risk of forthcoming liver failure in the next decades.
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