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中华肝脏外科手术学电子杂志 ›› 2025, Vol. 14 ›› Issue (04) : 522 -527. doi: 10.3877/cma.j.issn.2095-3232.2025.04.004

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肝细胞癌骨转移研究进展
罗臻1, 韦鹏程1, 孙馨2, 李照1,()   
  1. 1100044 北京大学人民医院肝胆外科
    2100044 北京大学人民医院骨肿瘤科
  • 收稿日期:2025-01-25 出版日期:2025-08-10
  • 通信作者: 李照
  • 基金资助:
    首都卫生发展科研专项(首发2022-2-4084)

Research progress in bone metastasis from hepatocellular carcinoma

Chen Lo1, Pengcheng Wei1, Xin Sun2, Zhao Li1,()   

  1. 1Department of Hepatobiliary Surgery, Peking University People’s Hospital, Beijing 100044, China
    2Department of Bone Oncology, Peking University People’s Hospital, Beijing 100044, China
  • Received:2025-01-25 Published:2025-08-10
  • Corresponding author: Zhao Li
引用本文:

罗臻, 韦鹏程, 孙馨, 李照. 肝细胞癌骨转移研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(04): 522-527.

Chen Lo, Pengcheng Wei, Xin Sun, Zhao Li. Research progress in bone metastasis from hepatocellular carcinoma[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(04): 522-527.

肝细胞癌(肝癌)在我国发病率高,肝癌骨转移的早期诊断率较低、预后较差,且目前仍未有明确的治疗共识,是转移性肝癌需攻克的难点之一。肝癌骨转移的发病机制尚未完全明确,可能与外泌体、上皮-间质转化(EMT)和骨微环境有关。放疗、手术局部切除等对转移灶进行治疗可以延长患者的生存期,但系统治疗仍是肝癌骨转移的主要治疗措施。以系统治疗为主,针对患者实施个体化治疗,可提高患者生活质量并延长生存期。本文就肝癌骨转移的临床特征、转移机制和治疗进展等内容进行阐述,以期为临床工作提供依据。

The incidence of hepatocellular carcinoma (HCC) is high in China. The early diagnostic rate of bone metastasis from HCC is low, and clinical prognosis is poor. At present, no definite treatment consensus has been reached, which is one of the difficulties to be resolved for metastatic HCC. The pathogenesis of bone metastasis from HCC remains elusive, which is probably associated with exosomes, epithelial-mesenchymal transition (EMT) and bone microenvironment. Radiotherapy, local surgical resection and other treatments for metastatic lesions can prolong the survival time of patients. However, systematic treatment is still the main therapy for bone metastasis from HCC. Based on systematic treatments, individualized treatments for patients can improve the quality of life and prolong the survival time. In this article, clinical characteristics, mechanism of metastasis and treatment progress of bone metastasis from HCC were illustrated, aiming to provide evidence for clinical work.

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