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BackTable Vascular & Interventional

Ep. 525 Principles to Practice: An HCC Tumor Board

Mar 14, 2025
Join Dr. Adam Burgoyne, a medical oncologist; Siddharth Padia, an interventional radiologist; and Gabriel Schnickel, a transplant and hepatobiliary surgeon, as they dissect complex hepatocellular carcinoma (HCC) cases. They explore treatment options like surgical resection, thermal ablation, and systemic therapies while emphasizing a collaborative approach. The discussion highlights innovative treatment strategies, including immunotherapy and the evolving transplant criteria for patients with portal vein thrombosis. Tune in for a deep dive into the intricate world of HCC management!
58:30

Podcast summary created with Snipd AI

Quick takeaways

  • The podcast highlights the critical role of multi-disciplinary collaboration in determining optimal treatment strategies for hepatocellular carcinoma (HCC) cases.
  • The discussion emphasizes the varying treatment approaches based on individual patient factors, including the size of the tumor and overall health status.

Deep dives

Case Study of a 67-Year-Old Male with HCC

A 67-year-old male patient with hepatocellular carcinoma (HCC) and portal hypertension is presented. The discussion revolves around optimal treatment approaches, which include local regional therapy versus potential liver transplantation. Given the patient's condition and tumor characteristics, it's suggested that surgical options may not be feasible, and radioembolization is recommended as a primary treatment strategy. The panel emphasizes the importance of solidifying downstaging criteria to assess possible eligibility for future liver transplantation.

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