Proton therapy in the management of hepatocellular carcinoma Review


Authors: Kobeissi, J. M.; Hilal, L.; Simone, C. B. 2nd; Lin, H.; Crane, C. H.; Hajj, C.
Review Title: Proton therapy in the management of hepatocellular carcinoma
Abstract: Simple Summary: Radiation therapy is among the locoregional therapy modalities used to treat unresectable or medically inoperable hepatocellular carcinoma (HCC). Proton radiation therapy plays a major role in the treatment of HCC, especially when liver toxicity is a concern. The aim of this review is to provide a concise and comprehensive summary on the use of proton therapy in the management of HCC. Proton radiation therapy plays a central role in the treatment of hepatocellular carcinoma (HCC). Because of the near-zero exit dose and improved sparing of normal liver parenchyma, protons are being used even in challenging scenarios, including larger or multifocal liver tumors, and those associated with vascular tumor thrombus. There is a mounting level of evidence that suggests that protons are superior to photons in terms of survival and toxicity outcomes, specifically the progression to liver failure. A randomized controlled trial comparing protons to photons is currently underway to verify this hypothesis.
Journal Title: Cancers
Volume: 14
Issue: 12
ISSN: 2072-6694
Publisher: MDPI  
Date Published: 2022-06-02
Start Page: 2900
Language: English
DOI: 10.3390/cancers14122900
PROVIDER: EBSCOhost
PROVIDER: cinahl
PMCID: PMC9220794
PUBMED: 35740567
DOI/URL:
Notes: Accession Number: 157680642 -- Entry Date: In Process -- Revision Date: 20220630 -- Publication Type: Article -- Journal Subset: Biomedical; Continental Europe; Europe -- NLM UID: 101526829. -- Source: Cinahl
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  1. Carla Hajj
    164 Hajj
  2. Christopher   Crane
    202 Crane
  3. Charles Brian Simone
    190 Simone