Article
Oncology
Claude Dennis, David S. Prince, Leila Moayed-Alaei, Devika Remash, Emily Carr-Boyd, David G. Bowen, Simone I. Strasser, Michael Crawford, Carlo Pulitano, James Kench, Geoffrey W. McCaughan, Catriona McKenzie, Ken Liu
Summary: Vessels that encapsulate tumor clusters (VETC) is a vascular pattern seen on hepatocellular carcinoma (HCC) histology that has important prognostic value in HCC patients undergoing liver transplantation (LT). The number of VETC-positive tumors is an independent predictor of post-LT recurrence-free survival (RFS) and time to recurrence (TTR).
FRONTIERS IN ONCOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Seo Yeon Youn, Bohyun Kim, Dong Hwan Kim, Ho Joong Choi, Pil Soo Sung, Joon-Il Choi
Summary: This study evaluated the factors predicting recurrence-free survival and overall survival after curative surgery in HCC patients treated with LRT. The study found that the LR-TR viable category at the time of surgery, preoperative AFP level, number of LRT sessions, and resection surgery independently predicted recurrence. A risk score categorized patients into different risk groups, predicting the 1-year recurrence rate. Postoperative recurrence and failure to meet the Milan criteria predicted death in patients.
EUROPEAN RADIOLOGY
(2022)
Article
Gastroenterology & Hepatology
Allison J. Kwong, T. Tara Ghaziani, Francis Yao, Daniel Sze, Ajitha Mannalithara, Neil Mehta
Summary: The utilization of locoregional therapy, especially radioembolization, is increasing among liver transplant candidates in the United States. Patients with greater tumor burden and more compensated liver disease receive more treatments while waiting for transplantation. Bridging therapy is associated with a lower risk of waitlist dropout.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Biochemical Research Methods
Mamatha Bhat, Sergi Clotet-Freixas, Cristina Baciu, Elisa Pasini, Ahmed Hammad, Tommy Ivanics, Shelby Reid, Amirhossein Azhie, Marc Angeli, Anand Ghanekar, Sandra Fischer, Gonzalo Sapisochin, Ana Konvalinka
Summary: The study identified that increased levels of LGALS3 and LGALS3BP gene and protein expression in HCC explants were associated with post-transplant recurrence, while increased ALDH1A1 levels were associated with absence of recurrence in patients who underwent liver transplantation for HCC beyond Milan criteria.
CLINICAL PROTEOMICS
(2021)
Article
Gastroenterology & Hepatology
Soon Kyu Lee, Jeong Won Jang, Heechul Nam, Pil Soo Sung, Hee Yeon Kim, Jung Hyun Kwon, Sung Won Lee, Do Seon Song, Chang Wook Kim, Myeong Jun Song, Ho Joong Choi, Young Kyoung You, Si Hyun Bae, Jong Young Choi, Seung Kew Yoon
Summary: Sorafenib shows better outcomes in patients with liver transplantation (LT) compared to those without LT, likely due to smaller intrahepatic HCC and preserved hepatic function in LT recipients. Multiple subgroup analyses and propensity-score matching confirm the superior efficacy of sorafenib in the LT setting.
HEPATOLOGY INTERNATIONAL
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
S. Ali Montazeri, Cynthia De la Garza-Ramos, Andrew R. Lewis, Jason T. Lewis, Jordan D. LeGout, David M. Sella, Ricardo Paz-Fumagalli, Zlatko Devcic, Charles A. Ritchie, Gregory T. Frey, Lucas Vidal, Kristopher P. Croome, J. Mark McKinney, Denise Harnois, Sunil Krishnan, Tushar Patel, Beau B. Toskich
Summary: This study examined the correlation between yttrium-90 glass microsphere radiation segmentectomy treatment intensification and complete pathologic necrosis (CPN) in patients with hepatocellular carcinoma (HCC) prior to liver transplantation. The analysis showed that treatment intensification increased the rates of CPN, with specific activity being the most significant independent parameter associated with CPN.
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
(2022)
Review
Gastroenterology & Hepatology
Paul J. Thuluvath, Chau To, Waseem Amjad
Summary: Hepatocellular cancer is a common and deadly cancer worldwide. Liver transplantation is the preferred treatment for unresectable HCC, but due to long waiting periods, locoregional therapies may be needed for some patients.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Review
Radiology, Nuclear Medicine & Medical Imaging
Guilherme Moura Cunha, Mojgan Hosseini, Alessandro Furlan, Kathryn J. Fowler
Summary: This article provides an overview of the pathologic and radiologic TNM staging systems for hepatocellular carcinoma (HCC), emphasizing the differences between these staging systems and the limitations of radiologic-pathologic stage correlation. It reviews the prognostic value of individual features used for HCC staging and highlights significant aspects of preoperative risk stratification that could be improved to positively impact posttransplant outcomes.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Review
Oncology
Laura Crocetti, Elena Bozzi, Paola Scalise, Irene Bargellini, Giulia Lorenzoni, Davide Ghinolfi, Daniela Campani, Emanuele Balzano, Paolo De Simone, Roberto Cioni
Summary: Liver transplantation is the primary treatment for patients with unresectable early-stage hepatocellular carcinoma and cirrhosis. While traditional Milan criteria are restrictive, there is a trend towards expanding inclusion criteria due to a limited organ supply. Locoregional therapies play a crucial role in selecting patients who will benefit the most from transplantation and meet the criteria for transplantation.
Article
Oncology
Yangyang Wang, Wei Zhang, Hongbin Ge, Xu Han, Jiangchao Wu, Xuqi Sun, Ke Sun, Wanyue Cao, Chao Huang, Jingsong Li, Qi Zhang, Tingbo Liang
Summary: Tumor micronecrosis is a histopathological feature that predicts poor prognosis in patients with hepatocellular carcinoma (HCC). This study aimed to evaluate the role of tumor micronecrosis in liver transplantation for HCC. The findings suggest that HCC patients with tumor micronecrosis have worse prognosis and tumor micronecrosis can help predict recurrence-free survival after liver transplantation.
Review
Oncology
Kylie E. Zane, Mina S. Makary
Summary: Liver cancer is a leading cause of cancer deaths in the United States, often complicated by portal vein tumor thrombus indicating advanced disease. Recent advances in treatment have shown potential to improve life expectancy in these patients.
Article
Oncology
Kelley G. Nunez, Tyler Sandow, Meredith A. Lakey, Daniel Fort, Ari J. Cohen, Paul T. Thevenot
Summary: The study identified three subtypes of hepatocellular carcinoma (HCC-1, HCC-2, and HCC-3) with distinct differences in anti-tumoral signaling and immune infiltration within the tumor microenvironment. Incomplete response to liver-directed therapy may inhibit an effective anti-tumoral response through immune exclusion and induce intrahepatic spread.
FRONTIERS IN ONCOLOGY
(2022)
Article
Gastroenterology & Hepatology
Charlotte Costentin, Federico Pinero, Helena Degroote, Andrea Notarpaolo, Ilka F. Boin, Karim Boudjema, Cinzia Baccaro, Luis G. Podesta, Philippe Bachellier, Giuseppe Maria Ettorre, Jaime Poniachik, Fabrice Muscari, Fabrizio Dibenedetto, Sergio Hoyos Duque, Ephrem Salame, Umberto Cillo, Sebastian Marciano, Claire Vanlemmens, Stefano Fagiuoli, Patrizia Burra, Hans Van Vlierberghe, Daniel Cherqui, Quirino Lai, Marcelo Silva, Fernando Rubinstein, Christophe Duvoux
Summary: Reassessing the risk of recurrence after liver transplantation (LT) is critical for optimizing the management of patients with hepatocellular carcinoma (HCC). In this study, a new model called R3-AFP was designed and validated based on variables associated with recurrence post-LT, providing a robust framework for designing post-LT surveillance strategies, protocols, or adjuvant therapy trials for HCC patients. The R3-AFP model outperformed the original R3 model, which was solely based on explant features.
Review
Gastroenterology & Hepatology
Yutaka Kurebayashi, Naoto Kubota, Michiie Sakamoto
Summary: The tumor microenvironment, consisting of tumor cells, immune cells, and non-immune stromal cells, plays a crucial role in regulating tumor growth. Different patterns of immune microenvironment are observed among different tumor subtypes, with intense studies on their clinicopathological significance and intertumor/intratumor heterogeneity.Understanding the comprehensive histopathological picture of a tumor immune microenvironment is essential for precision medicine in the era of tumor-targeting immunotherapy.
HEPATOLOGY RESEARCH
(2021)
Article
Oncology
Ji Soo Lee, Jongman Kim, Jinsoo Rhu, Gyu-Seong Choi, Jae-Won Joh
Summary: Liver transplantation in patients with hepatocellular carcinoma (HCC) with bile duct tumor thrombus (BDTT) remains controversial. This study analyzed the long-term recurrence and overall survival rates in HCC patients with BDTT after liver transplantation and compared them with the results in HCC patients with portal vein tumor thrombus (PVTT). The study found that HCC patients with BDTT had similar rates of recurrence and survival compared to HCC patients with PVTT after long-term follow-up after liver transplantation.
Letter
Gastroenterology & Hepatology
Lance L. Stein, Madeline C. Tully, Aravind Arepally
Article
Immunology
Brett Tracy, Roshan Shrestha, Lance Stein, Devina Bhasin, Harrison Pollinger, Raymond A. Rubin
TRANSPLANT INFECTIOUS DISEASE
(2017)
Article
Pharmacology & Pharmacy
Julia Zhu, Ronald J. Hazen, Cara Joyce, Ambrose Delpino, Heather S. Kirkham, Carson Dietrich Strickland, Shauna Markes-Wilson, Tomeka Kim, Meen Kang, Raymond A. Rubin, Lance L. Stein
JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
(2018)
Article
Gastroenterology & Hepatology
Julie Thompson, Natasha Jones, Ali Al-Khafaji, Shahid Malik, David Reich, Santiago Munoz, Ross MacNicholas, Tarek Hassanein, Lewis Teperman, Lance Stein, Andres Duarte-Rojo, Raza Malik, Talal Adhami, Sumeet Asrani, Nikunj Shah, Paul Gaglio, Anupama Duddempudi, Brian Borg, Rajiv Jalan, Robert Brown, Heather Patton, Rohit Satoskar, Simona Rossi, Amay Parikh, Ahmed ElSharkawy, Parvez Mantry, Linda Sher, David Wolf, Marquis Hart, Charles Landis, Alan Wigg, Shahid Habib, Geoffrey McCaughan, Steven Colquhoun, Alyssa Henry, Patricia Bedard, Lee Landeen, Michael Millis, Robert Ashley, William Frank, Andrew Henry, Jan Stange, Ram Subramanian
LIVER TRANSPLANTATION
(2018)
Review
Medicine, Research & Experimental
Lance L. Stein, Mamie H. Dong, Rohit Loomba
ADVANCES IN THERAPY
(2009)
Letter
Gastroenterology & Hepatology
Lance L. Stein, Marty T. Sellers
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2013)
Letter
Gastroenterology & Hepatology
Lance L. Stein, Tamas A. Gonda, Peter D. Stevens, Robert S. Brown
Article
Radiology, Nuclear Medicine & Medical Imaging
Marty T. Sellers, Sidney Huggins, Kristy Kegley, Harrison S. Pollinger, Roshan Shrestha, Mark W. Johnson, Lance L. Stein, Chakri Panjala, Miguel Tan, Aravind Arepally, Louis Jacobs, Christopher Caldwell, Michael Bosley, Steven J. Citron
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2013)
Article
Gastroenterology & Hepatology
Vinay Sundaram, Nadim Mahmud, Giovanni Perricone, Dev Katarey, Robert J. Wong, Constantine J. Karvellas, Brett E. Fortune, Robert S. Rahimi, Harapriya Maddur, Janice H. Jou, Michael Kriss, Lance L. Stein, Moses Lee, Rajiv Jalan
LIVER TRANSPLANTATION
(2020)
Article
Gastroenterology & Hepatology
Ruben Hernaez, Constantine J. Karvellas, Yan Liu, Sophie-Caroline Sacleux, Saro Khemichian, Lance L. Stein, Kirti Shetty, Christina C. Lindenmeyer, Justin R. Boike, Douglas A. Simonetto, Robert S. Rahimi, Prasun K. Jalal, Manhal Izzy, Michael S. Kriss, Gene Y. Im, Ming V. Lin, Janice H. Jou, Brett E. Fortune, George Cholankeril, Alexander Kuo, Nadim Mahmud, Fasiha Kanwal, Faouzi Saliba, Vinay Sundaram, Thierry Artzner, Rajiv Jalan, Atef Al Attar, Kambiz Kosari, Richard Garcia, Gevork Salmastyan, William Cranford, Preet Patel, Pei Xue, Soumya Mishra, Madison Parks, Gianina Flocco, Mariana Hurtado, Islam Mohamed, Ross Vyhmeister, Christine R. Lopez, Braidie Campbell, Adam C. Winters, Mary Ann Simpson
Summary: The SALT-M score can predict one-year post-LT mortality in patients with severe ACLF. The ACLF-LT-LoS score can predict the median length of stay after LT. The use of these scores could assist in determining the benefits of transplantation.
JOURNAL OF HEPATOLOGY
(2023)
Article
Transplantation
Yasir Al-Azzawi, Lance L. Stein, Roshan Shrestha, Devina Bhasin, Steven J. Citron, Raymond A. Rubin
TRANSPLANTATION DIRECT
(2016)