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Cited by 799

The DOI matches its Crossref record; 82 of the 82 references it cites were found in a registry or an index.

Multimodal treatment of hepatocellular carcinoma on cirrhosis: An update

Open access
Vivarelli, Marco·2013·World Journal of Gastroenterology

Abstract

Hepatocellular carcinoma (HCC) is the most frequent primary liver tumor, and overall, it is one of the most frequent cancers. The association of HCC with chronic liver disease, and cirrhosis in particular, is well known, making treatment complex and challenging. The treatment of HCC must take into account the presence and stage of chronic liver disease, with the aim of preserving hepatic function that is often already impaired, the stage of HCC and the clinical condition of the patient. The different treatment options include surgical resection, transplantation, local ablation, chemoembolization, radioembolization and molecular targeted therapies; these treatments can be combined in various ways to achieve different goals. Ideally, liver transplantation is best treatment for early stage HCC on cirrhosis because it removes both the tumor and the chronic disease that produced it; however, the application of this powerful tool is limited by the scarcity of donors. Downstaging and bridging are different strategies for the management of HCC patients who will undergo liver transplantation. Several professionals, including gastroenterologists, radiologists and surgeons, are involved in the choice of the most appropriate treatment for a single case, and a multidisciplinary approach is necessary to optimize the outcome. The purpose of this review is to provide a comprehensive description of the current treatment options for patients with HCC by analyzing the advantages, disadvantages and rationale for their use.

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Metadata

Authors
Vivarelli, M.
Venue
World Journal of Gastroenterology
Published
2013
Volume
19
Issue
42
Pages
7316
ISSN
1007-9327 (ISSN-L)
OpenAlex
W2001647084
Cited by
799
References
82
FWCI
27.16
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Multimodal treatment of hepatocellular carcinoma on cirrhosis: An update. https://app.cochat.ai/papers/10.3748/wjg.v19.i42.7316
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Vivarelli, M. (2013). Multimodal treatment of hepatocellular carcinoma on cirrhosis: An update. World Journal of Gastroenterology. https://doi.org/10.3748/wjg.v19.i42.7316

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.