Carcinome hépatocellulaire : résection ou transplantation hépatique ? [Hepatocellular Carcinoma: Resection or Liver Transplantation?]
Résumé
Hepatocellular carcinoma is the most common hepatic cancer and the frequency of its incidence is increasing. It develops from liver cirrhosis in 90% of the cases. Curative treatment is possible in cases of limited hepatic extension and absence of metastasis. Liver transplantation treats both the cancer and the underlying cirrhotic liver. However, the scarcity of liver transplants makes it necessary to select liver transplant candidates. Liver resection and radioablation are curative treatments that can be considered during the time on the waiting list for transplants. Liver resection is the treatment of choice for the minority of patients who developed hepatocellular carcinoma without an underlying pathologic liver.