Malatya and Other Criteria for Liver Transplantation in Hepatocellular Carcinoma

Purpose Liver transplantation is a curative treatment option for hepatocellular carcinoma. In this review, we aimed to review liver transplantation criteria for hepatocellular carcinoma and patient survivals. Methods We reviewed literature in terms of liver transplant criteria for hepatocellular car...

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Veröffentlicht in:Journal of gastrointestinal cancer 2020-12, Vol.51 (4), p.1118-1121
Hauptverfasser: Ince, Volkan, Ara, Cengiz, Yilmaz, Sezai
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container_title Journal of gastrointestinal cancer
container_volume 51
creator Ince, Volkan
Ara, Cengiz
Yilmaz, Sezai
description Purpose Liver transplantation is a curative treatment option for hepatocellular carcinoma. In this review, we aimed to review liver transplantation criteria for hepatocellular carcinoma and patient survivals. Methods We reviewed literature in terms of liver transplant criteria for hepatocellular carcinoma. Patient eligibility criteria, post-transplant survivals, tumor recurrence and expansion of Milan criteria rates were analyzed. Results The Milan criteria, after being published in 1996, have become for deceased donor liver transplantation in hepatocellular carcinoma worldwide. Later, many transplant centers published their own liver transplant criteria. Most of the criteria consisted of morphological tumor characteristics based on tumor size and number. The newest published one is Malatya criteria. The 5-year overall survival according the all of the criteria is greater than 50%. There were just one paper which compare criteria according to survival and Malatya criteria were the best amongst extended criteria with 5-year OS 79.7% in that study. Conclusion It is clear that morphological criteria consisting only of tumor size and number are insufficient in patient selection for liver transplantation and should thus be combined with biological, inflammatory, radiological, pathological and genetic markers that predict the biological behavior of the tumor. Efforts to find the best criteria are still ongoing and 5-year overall survival should be greater than 60%.
doi_str_mv 10.1007/s12029-020-00484-y
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In this review, we aimed to review liver transplantation criteria for hepatocellular carcinoma and patient survivals. Methods We reviewed literature in terms of liver transplant criteria for hepatocellular carcinoma. Patient eligibility criteria, post-transplant survivals, tumor recurrence and expansion of Milan criteria rates were analyzed. Results The Milan criteria, after being published in 1996, have become for deceased donor liver transplantation in hepatocellular carcinoma worldwide. Later, many transplant centers published their own liver transplant criteria. Most of the criteria consisted of morphological tumor characteristics based on tumor size and number. The newest published one is Malatya criteria. The 5-year overall survival according the all of the criteria is greater than 50%. There were just one paper which compare criteria according to survival and Malatya criteria were the best amongst extended criteria with 5-year OS 79.7% in that study. Conclusion It is clear that morphological criteria consisting only of tumor size and number are insufficient in patient selection for liver transplantation and should thus be combined with biological, inflammatory, radiological, pathological and genetic markers that predict the biological behavior of the tumor. Efforts to find the best criteria are still ongoing and 5-year overall survival should be greater than 60%.</description><identifier>ISSN: 1941-6628</identifier><identifier>EISSN: 1941-6636</identifier><identifier>DOI: 10.1007/s12029-020-00484-y</identifier><identifier>PMID: 32860615</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biomarkers, Tumor - analysis ; Cancer Research ; Carcinoma, Hepatocellular - diagnosis ; Carcinoma, Hepatocellular - mortality ; Carcinoma, Hepatocellular - pathology ; Carcinoma, Hepatocellular - therapy ; Gastroenterology ; Humans ; Internal Medicine ; Liver - pathology ; Liver Cirrhosis - diagnosis ; Liver Cirrhosis - mortality ; Liver Cirrhosis - pathology ; Liver Cirrhosis - surgery ; Liver Neoplasms - diagnosis ; Liver Neoplasms - mortality ; Liver Neoplasms - pathology ; Liver Neoplasms - therapy ; Liver Transplantation - standards ; Medicine ; Medicine &amp; Public Health ; Neoplasm Recurrence, Local - epidemiology ; Oncology ; Patient Selection ; Radiotherapy ; Review Article ; Risk Assessment - methods ; Survival Rate ; Tumor Burden</subject><ispartof>Journal of gastrointestinal cancer, 2020-12, Vol.51 (4), p.1118-1121</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-f700cd36f26c1f37c31ccec6c1d60468aacb43563ae167206bd6e3230b2a0a493</citedby><cites>FETCH-LOGICAL-c347t-f700cd36f26c1f37c31ccec6c1d60468aacb43563ae167206bd6e3230b2a0a493</cites><orcidid>0000-0002-6843-875X ; 0000-0002-0714-490X ; 0000-0002-8044-0297</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12029-020-00484-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12029-020-00484-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32860615$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ince, Volkan</creatorcontrib><creatorcontrib>Ara, Cengiz</creatorcontrib><creatorcontrib>Yilmaz, Sezai</creatorcontrib><title>Malatya and Other Criteria for Liver Transplantation in Hepatocellular Carcinoma</title><title>Journal of gastrointestinal cancer</title><addtitle>J Gastrointest Canc</addtitle><addtitle>J Gastrointest Cancer</addtitle><description>Purpose Liver transplantation is a curative treatment option for hepatocellular carcinoma. In this review, we aimed to review liver transplantation criteria for hepatocellular carcinoma and patient survivals. Methods We reviewed literature in terms of liver transplant criteria for hepatocellular carcinoma. Patient eligibility criteria, post-transplant survivals, tumor recurrence and expansion of Milan criteria rates were analyzed. Results The Milan criteria, after being published in 1996, have become for deceased donor liver transplantation in hepatocellular carcinoma worldwide. Later, many transplant centers published their own liver transplant criteria. Most of the criteria consisted of morphological tumor characteristics based on tumor size and number. The newest published one is Malatya criteria. The 5-year overall survival according the all of the criteria is greater than 50%. There were just one paper which compare criteria according to survival and Malatya criteria were the best amongst extended criteria with 5-year OS 79.7% in that study. Conclusion It is clear that morphological criteria consisting only of tumor size and number are insufficient in patient selection for liver transplantation and should thus be combined with biological, inflammatory, radiological, pathological and genetic markers that predict the biological behavior of the tumor. 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Public Health</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Oncology</subject><subject>Patient Selection</subject><subject>Radiotherapy</subject><subject>Review Article</subject><subject>Risk Assessment - methods</subject><subject>Survival Rate</subject><subject>Tumor Burden</subject><issn>1941-6628</issn><issn>1941-6636</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD9PwzAQxS0EoqXwBRhQRpbA-U-cdEQVUKSiMpTZujgOpEqdYCdI-fa4pHRkujvfe0_nHyHXFO4oQHrvKQM2j4FBDCAyEQ8nZErngsZScnl67Fk2IRfebwGkSCg9JxPOMgmSJlPy9oo1dgNGaIto3X0aFy1c1RlXYVQ2LlpV3-Fp49D6tkbbYVc1NqpstDQtdo02dd3XGEzodGWbHV6SsxJrb64OdUbenx43i2W8Wj-_LB5WseYi7eIyBdAFlyWTmpY81ZxqbXQYCglCZog6FzyRHA2VKQOZF9JwxiFnCCjmfEZux9zWNV-98Z3aVX5_DlrT9F4xwTOZpknKg5SNUu0a750pVeuqHbpBUVB7kmokqQJJ9UtSDcF0c8jv850pjpY_dEHAR4EPK_thnNo2vbPhz__F_gCJsH8-</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Ince, Volkan</creator><creator>Ara, Cengiz</creator><creator>Yilmaz, Sezai</creator><general>Springer US</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6843-875X</orcidid><orcidid>https://orcid.org/0000-0002-0714-490X</orcidid><orcidid>https://orcid.org/0000-0002-8044-0297</orcidid></search><sort><creationdate>20201201</creationdate><title>Malatya and Other Criteria for Liver Transplantation in Hepatocellular Carcinoma</title><author>Ince, Volkan ; Ara, Cengiz ; Yilmaz, Sezai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-f700cd36f26c1f37c31ccec6c1d60468aacb43563ae167206bd6e3230b2a0a493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biomarkers, Tumor - analysis</topic><topic>Cancer Research</topic><topic>Carcinoma, Hepatocellular - diagnosis</topic><topic>Carcinoma, Hepatocellular - mortality</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Carcinoma, Hepatocellular - therapy</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Liver - pathology</topic><topic>Liver Cirrhosis - diagnosis</topic><topic>Liver Cirrhosis - mortality</topic><topic>Liver Cirrhosis - pathology</topic><topic>Liver Cirrhosis - surgery</topic><topic>Liver Neoplasms - diagnosis</topic><topic>Liver Neoplasms - mortality</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - therapy</topic><topic>Liver Transplantation - standards</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>Oncology</topic><topic>Patient Selection</topic><topic>Radiotherapy</topic><topic>Review Article</topic><topic>Risk Assessment - methods</topic><topic>Survival Rate</topic><topic>Tumor Burden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ince, Volkan</creatorcontrib><creatorcontrib>Ara, Cengiz</creatorcontrib><creatorcontrib>Yilmaz, Sezai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastrointestinal cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ince, Volkan</au><au>Ara, Cengiz</au><au>Yilmaz, Sezai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Malatya and Other Criteria for Liver Transplantation in Hepatocellular Carcinoma</atitle><jtitle>Journal of gastrointestinal cancer</jtitle><stitle>J Gastrointest Canc</stitle><addtitle>J Gastrointest Cancer</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>51</volume><issue>4</issue><spage>1118</spage><epage>1121</epage><pages>1118-1121</pages><issn>1941-6628</issn><eissn>1941-6636</eissn><abstract>Purpose Liver transplantation is a curative treatment option for hepatocellular carcinoma. In this review, we aimed to review liver transplantation criteria for hepatocellular carcinoma and patient survivals. Methods We reviewed literature in terms of liver transplant criteria for hepatocellular carcinoma. Patient eligibility criteria, post-transplant survivals, tumor recurrence and expansion of Milan criteria rates were analyzed. Results The Milan criteria, after being published in 1996, have become for deceased donor liver transplantation in hepatocellular carcinoma worldwide. Later, many transplant centers published their own liver transplant criteria. Most of the criteria consisted of morphological tumor characteristics based on tumor size and number. The newest published one is Malatya criteria. The 5-year overall survival according the all of the criteria is greater than 50%. There were just one paper which compare criteria according to survival and Malatya criteria were the best amongst extended criteria with 5-year OS 79.7% in that study. Conclusion It is clear that morphological criteria consisting only of tumor size and number are insufficient in patient selection for liver transplantation and should thus be combined with biological, inflammatory, radiological, pathological and genetic markers that predict the biological behavior of the tumor. Efforts to find the best criteria are still ongoing and 5-year overall survival should be greater than 60%.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32860615</pmid><doi>10.1007/s12029-020-00484-y</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-6843-875X</orcidid><orcidid>https://orcid.org/0000-0002-0714-490X</orcidid><orcidid>https://orcid.org/0000-0002-8044-0297</orcidid></addata></record>
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subjects Biomarkers, Tumor - analysis
Cancer Research
Carcinoma, Hepatocellular - diagnosis
Carcinoma, Hepatocellular - mortality
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - therapy
Gastroenterology
Humans
Internal Medicine
Liver - pathology
Liver Cirrhosis - diagnosis
Liver Cirrhosis - mortality
Liver Cirrhosis - pathology
Liver Cirrhosis - surgery
Liver Neoplasms - diagnosis
Liver Neoplasms - mortality
Liver Neoplasms - pathology
Liver Neoplasms - therapy
Liver Transplantation - standards
Medicine
Medicine & Public Health
Neoplasm Recurrence, Local - epidemiology
Oncology
Patient Selection
Radiotherapy
Review Article
Risk Assessment - methods
Survival Rate
Tumor Burden
title Malatya and Other Criteria for Liver Transplantation in Hepatocellular Carcinoma
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