Evidence map›Paper›PMID 34178325›Full record

ArticleMolecular and clinical oncology2021

Multimodal treatment involving molecular targeted agents and on-demand transcatheter arterial chemoembolization for advanced hepatocellular carcinoma: A case report and review of the literature.

Kyoko Oura, Kei Takuma, Mai Nakahara, Tomoko Tadokoro, Koji Fujita, Shima Mimura, Joji Tani, Asahiro Morishita, Hideki Kobara, Tsutomu Masaki

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Cisplatin in Liver Cancer Therapy.International journal of molecular sciences · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Kyoko OuraDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Kei TakumaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Mai NakaharaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Tomoko TadokoroDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Koji FujitaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Shima MimuraDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Joji TaniDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Asahiro MorishitaDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Hideki KobaraDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Tsutomu MasakiDepartment of Gastroenterology and Neurology, Kagawa University, Miki, Kita, Kagawa 761-0793, Japan.
Kagawa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Formulating sequential therapeutic strategies based on the pathological conditions of patients and by using molecular targeted agents (MTAs) and transcatheter arterial chemoembolization (TACE) is crucial for the treatment of unresectable advanced hepatocellular carcinoma (HCC). The current report presents the case of a patient with HCC involving a large intrahepatic primary tumor and lung metastases, and discusses treatment strategies for advanced HCC based on the current literature. Sequential therapy with MTAs was effective after TACE. Lenvatinib was effective for treating the metastases in the lungs and spleen. Only the progressing intrahepatic tumor was additionally treated with TACE. The patient has been alive for 3 years and continued lenvatinib treatment without HCC progression or decline in liver function. In conclusion, although multiple MTAs introduced into the clinic have been gradually replacing TACE, on-demand TACE in the multidisciplinary treatment of advanced HCC may be effective for intrahepatic hypervascular tumors resistant to MTAs, including lenvatinib. It may be possible to re-initiate lenvatinib treatment with good efficacy against distant metastatic lesions, thereby contributing to long-term survival.

Indexed as

advanced HCClenvatinibMTATACEtyrosine kinase inhibitor

Identifiers

PMID34178325
PMCPMC8220648
OpenAlexW3167018341

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.