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Curative Effect of Lenvatinib Combined with Locoregional Therapy on PD-L1-positive Hepatocellular Carcinoma Patients with Type Ⅰ-Ⅲ Portal Vein Tumor Thrombus According to Cheng’s Classification |
CHEN Long1, LIU Yujie1, TIAN Suqing2, WANG Cuiying1, HE Donglei3 |
1. Department of Oncology, Sanya Central Hospital, The Third People’s Hospital of Hainan Province, Sanya 572000, China; 2. Department of Radiation Oncology, Peking University Third Hospital, Beijing 100191, China; 3. Department of Gastrointestinal Cancer Surgery, The First Affiliated Hospital of Hainan Medical College, Haikou 570100, China |
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Abstract Objective To compare curative effect between lenvatinib combined with locoregional therapy and locoregional therapy on PD-L1-positive hepatocellular carcinoma patients with type Ⅰ-Ⅲ portal vein tumor thrombus according to Cheng’s classification. Methods The patients in lenvatinib combined with locoregional therapy group received orally-administered lenvatinib at a dose of 12 mg qd for patients≥60 kg or 8 mg qd for patients<60 kg. The locoregional therapy group only received locoregional therapy. We retrospectively analyzed the clinical data and prognosis of two groups. Results The CR+PR were 78.1% and 53.6% in the combination group and locoregional therapy group, respectively (P<0.05). The response rate, disease control rate and overall survival of the combination group were higher than those in the locoregional therapy group (P<0.05). Conclusion The curative effect and overall survival of lenvatinib combined with locoregional therapy is better than locoregional therapy on PD-L1-positive hepatocellular carcinoma patients with type Ⅰ-Ⅲ portal vein tumor thrombus according to Cheng’s classification.
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Keywords
Hepatocellular carcinoma; Lenvatinib; Locoregional therapy; Portal vein tumor thrombus; PD-L1
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Issue Date: 11 January 2022
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