BackTable Vascular & Interventional
BackTable Vascular & Interventional
BackTable Inc.
Ep. 517 Complex HCC Patients and the "Grey Zone": What to Do When You Don’t Know What to Do
39 minutes Posted Feb 14, 2025 at 7:00 am.
Introduction to BCLC Staging
Impact of Performance Status
Predictors of Survival in HCC
Palliative versus Curative Treatment Intent
Comorbid and Mixed Gastrointestinal Cancers
Adverse Effects of Treatment
Interventional Oncology in the Clinic Setting
Navigating Multiple Provider Viewpoints
Complex Case Examples
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Show notes
Treatment of hepatocellular carcinoma (HCC), like that of many other cancers, spans a spectrum from curative to palliative intent. To explore the "grey zone" of treatment goals for intermediate-stage HCC patients, Dr. Sabeen Dhand interviews a panel of experts in the field: medical oncologists Dr. Adam Burgoyne and Dr. Lingling Du, along with interventional radiologists Dr. Kirema Garcia-Reyes and Dr. Zachary Berman.
Physicians, nurses, nurse practitioners, and physician assistants can follow this link to earn CME / CE credits for completing an accredited learning activity related to this discussion:
https://www.cmeuniversity.com/course/take/125739
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This podcast is supported by an educational grant from AstraZeneca Pharmaceuticals and Boston Scientific.
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SYNPOSIS
The discussion begins with an explanation of the Barcelona-Clinic Liver Cancer (BCLC) staging system. While this system takes into account helpful factors such as liver function, performance status, and tumor burden, it fails to fully capture the true heterogeneity of the HCC patient population. Additional considerations include tumor biology, response to previous treatments, and the location of metastases. The specialists then share their experiences in treating patients with comorbid gastrointestinal cancers and mixed tumors, discuss the benefits of an interventional oncology clinic setting, and highlight virtual opportunities for connecting with tumor boards. They also offer advice on patient education regarding treatment options.
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TIMESTAMPS
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RESOURCES
BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update (Reig et al, 2022):
https://www.journal-of-hepatology.eu/article/S0168-8278(21)02223-6/fulltext
CME Accreditation Information:
https://f7cae4ec-b69e-490d-9e0f-19b16a6f146d.usrfiles.com/ugd/f7cae4_a7c37ea3cd1b4d3fa53d5edf8dfe255b.pdf