Evidence map›Paper›PMID 42620713›Full record

ReviewiScience2026

Adjuvant and neoadjuvant therapies in HCC: Time to go perioperative?

Spyridon Pantzios, Georgios Germanidis, Ioannis Elefsiniotis

Abstract readReview
In one paragraph

Review in iScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Spyridon PantziosAcademic Department of Internal Medicine - Hepatogastroenterology Unit, General Oncology Hospital of Kifisia "Agioi Anargyroi", National and Kapodistrian University of Athens, Athens, Greece.
Georgios GermanidisDivision of Gastroenterology and Hepatology, First Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Ioannis ElefsiniotisAcademic Department of Internal Medicine - Hepatogastroenterology Unit, General Oncology Hospital of Kifisia "Agioi Anargyroi", National and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality worldwide, with high recurrence rates despite curative-intent therapies. Immune checkpoint inhibitors (ICIs) have improved outcomes in advanced disease and are now being explored in earlier stages. However, adjuvant approaches have shown limited and inconsistent benefit across phase III trials. In contrast, neoadjuvant strategies have demonstrated promising activity, likely due to enhanced immune priming in the presence of an intact tumor, leading to improved pathological responses and potential tumor downstaging. Emerging evidence suggests that perioperative approaches combining neoadjuvant and adjuvant immunotherapy may provide a more comprehensive strategy by targeting both macroscopic and microscopic disease. Early phase III data indicate improved oncological outcomes and possible conversion to resectability in selected patients. Nonetheless, challenges remain, including patient selection, optimal sequencing, toxicity, and lack of predictive biomarkers. This review summarizes current evidence and future perspectives on adjuvant, neoadjuvant and perioperative systemic therapies in HCC.

Indexed as

adjuvantHCCimmunotherapyneoadjuvantperioperative

Identifiers

PMID42620713
PMCPMC13486858

What OpenQuestion holds

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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.