Evidence based tools to improve efficiency of currently administered oncotherapies for tumors of the hepatopancreatobiliary system

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved..

Hepatopancreatobiliary tumors are challenging to treat, and the advanced or metastatic forms have a very low 5-year survival rate. Several drug combinations have been tested, and new therapeutic approaches have been introduced in the last decades, including radiofrequency and heat based methods. Hyperthermia is the artificial heating of tumors by various biophysical methods that may possess immunostimulant, tumoricidal, and chemoradiotherapy sensitizer effects. Both whole-body and regional hyperthermia studies have been conducted since the 1980s after the introduction of deep-seated tumor hyperthermia techniques. Results of the effects of hyperthermia in hepatocellular and pancreatic cancer are known from several studies. Hyperthermia in biliary cancers is a less investigated area. High local and overall responses to treatment, increased progression-free and overall survival, and improved laboratory and quality-of-life results are associated with hyperthermia in all three tumor types. With the evolution of chemotherapeutic agents and the introduction of newer techniques, the combination of adjuvant hyperthermia with those therapies is advantageous and has not been associated with an increase in alarming adverse effects. However, despite the many positive effects of hyperthermia, its use is still only known at the experimental level, and its concomitant utilization in routine cancer treatment is not certain because of the lack of thorough clinical studies.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

World journal of gastrointestinal oncology - 13(2021), 9 vom: 15. Sept., Seite 1109-1120

Sprache:

Englisch

Beteiligte Personen:

Herold, Zoltan [VerfasserIn]
Szasz, A Marcell [VerfasserIn]
Dank, Magdolna [VerfasserIn]

Links:

Volltext

Themen:

Carcinoma hepatocellular
Cholangiocarcinoma
Gallbladder neoplasms
Hyperthermia induced
Journal Article
Pancreatic neoplasms
Review

Anmerkungen:

Date Revised 08.10.2021

published: Print

Citation Status PubMed-not-MEDLINE

doi:

10.4251/wjgo.v13.i9.1109

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM331575515