Hepatocellular carcinoma: novel molecular approaches for diagnosis, prognosis, and therapy.

Abstract:

:The genomic era is changing the understanding of cancer, although translation of the vast amount of data available into decision-making algorithms is far from reality. Molecular profiling of hepatocellular carcinoma (HCC), the most common cause of death among cirrhotic patients and a fast-growing malignancy in Western countries, is enabling the advancement of novel approaches to disease diagnosis and management. Most HCCs arise on a cirrhotic liver, and predictably, an accurate genomic characterization will allow the identification of procarcinogenic signals amenable to selective targeting by chemopreventive strategies. Molecular diagnosis is currently feasible for small tumors, but it has not yet been formalized by scientific guidelines. Molecular treatment is a reality: Sorafenib confers unprecedented survival benefits in patients at advanced stages. Genomic information from tumor and nontumoral tissue will aid prognosis prediction and facilitate the identification of oncogene addiction loops, providing the opportunity for more personalized medicine.

journal_name

Annu Rev Med

authors

Villanueva A,Minguez B,Forner A,Reig M,Llovet JM

doi

10.1146/annurev.med.080608.100623

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

317-28

eissn

0066-4219

issn

1545-326X

journal_volume

61

pub_type

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