Introduction:
Hepatocellular carcinoma (HCC) is the most common that has increased in the recent years around the world. Primary liver cancer or HCC is considered as the 5th and 7th most frequent cancer in males and females, respectively; whereas it is the second leading cause of cancer-related death around the world. Unfortunately, HCC is frequently diagnosed at an advanced phase; while the majority of patients are not having qualification for the remedial therapies in this stage. Furthermore, current systemic chemotherapy demonstrates low efficiency and minimum survival profits. At present, liver cancer therapy is multidisciplinary, and multiple choice treatment are considered mostly on an individualized basis based on the complex interaction of tumor stage and the degree of liver disease, and the patient’s general condition health.
Methods:
Here we reviewed the new insight into nonsurgical and surgical treatment of liver cancer in five English databases, including Scopus, PubMed, Web of Science, EMBASE, and Google Scholar up to December 2019.
Results:
The results demonstrated in addition to current therapies such as chemotherapy and surgical resection, new approaches including immunotherapy (with human monoclonal antibodies), virus therapy (with oncolytic viruses such as herpes simplex virus, adenovirus, parvovirus, poxvirus, paramyxovirus, reovirus), gene therapy by novel experimental techniques such as gene directed enzyme/prodrug therapy (P53 gene, microRNA and small-interfering RNA), new ablation therapies radiofrequency ablation, highintensity focused ultrasound, helium cryoablation therapy), as well as adjuvant therapy which widely used method after HCC surgical resection is adjuvant therapy. In recent years, biomaterials approach such ass nanoparticles, liposomes, microspheres, and nanofibers nanoparticles are also considered as the reliable and novel patents to treat and study of liver cancers.
Conclusion:
Multidisciplinary, and multiple choice treatment and therapy suggestions are available for this liver cancer, whereas there are differences in the management recommendations for liver cancers across specialties and geographic regions. Current findings showed that treatment strategies have combined with the advance of new treatment modalities. Moreover, the use of new approaches with higher efficacy such as combination therapy, the use of biomaterials, ablation therapy, etc are can be considered as the preferred treatments for patients.