Hepatobiliary Cancers, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology.

Journal Article (Journal Article)

The NCCN Guidelines for Hepatobiliary Cancers focus on the screening, diagnosis, staging, treatment, and management of hepatocellular carcinoma (HCC), gallbladder cancer, and cancer of the bile ducts (intrahepatic and extrahepatic cholangiocarcinoma). Due to the multiple modalities that can be used to treat the disease and the complications that can arise from comorbid liver dysfunction, a multidisciplinary evaluation is essential for determining an optimal treatment strategy. A multidisciplinary team should include hepatologists, diagnostic radiologists, interventional radiologists, surgeons, medical oncologists, and pathologists with hepatobiliary cancer expertise. In addition to surgery, transplant, and intra-arterial therapies, there have been great advances in the systemic treatment of HCC. Until recently, sorafenib was the only systemic therapy option for patients with advanced HCC. In 2020, the combination of atezolizumab and bevacizumab became the first regimen to show superior survival to sorafenib, gaining it FDA approval as a new frontline standard regimen for unresectable or metastatic HCC. This article discusses the NCCN Guidelines recommendations for HCC.

Full Text

Duke Authors

Cited Authors

  • Benson, AB; D'Angelica, MI; Abbott, DE; Anaya, DA; Anders, R; Are, C; Bachini, M; Borad, M; Brown, D; Burgoyne, A; Chahal, P; Chang, DT; Cloyd, J; Covey, AM; Glazer, ES; Goyal, L; Hawkins, WG; Iyer, R; Jacob, R; Kelley, RK; Kim, R; Levine, M; Palta, M; Park, JO; Raman, S; Reddy, S; Sahai, V; Schefter, T; Singh, G; Stein, S; Vauthey, J-N; Venook, AP; Yopp, A; McMillian, NR; Hochstetler, C; Darlow, SD

Published Date

  • May 1, 2021

Published In

Volume / Issue

  • 19 / 5

Start / End Page

  • 541 - 565

PubMed ID

  • 34030131

Electronic International Standard Serial Number (EISSN)

  • 1540-1413

Digital Object Identifier (DOI)

  • 10.6004/jnccn.2021.0022


  • eng

Conference Location

  • United States