原发性肝癌放疗的指南推荐解读

A review of updated guidelines for radiotherapy for primary liver cancer

基于循证医学证据的治疗指南为临床肿瘤医生提供了较为合理的治疗策略推荐。目前，巴塞罗那临床肝癌（BCLC）、欧洲肝病研究学会及欧洲癌症治疗研究组织（EASL-EORTC）、美国肝病研究学会（AASLD）、美国国家综合癌症网络（NCCN）、亚太地区原发性肝癌专家（APPLE）、韩国肝癌研究组及国立癌症中心（KLCSG-NCC）和中华医学会放射肿瘤治疗学分会（CSTRO）等国内外多个组织均发布了原发性肝癌治疗指南。尽管肝癌放疗在临床上早已广泛开展，但是却未被一部分指南推荐。本文拟对国内外指南中针对放疗的推荐进行解读，探讨肝癌放疗的现状和未来前景。

The treatment guidelines based on evidence-based medical evidence provide appropriate treatment strategies for clinical oneologists. Currently, many treatment guidelines for primary liver cancer have been published and updated by many organizations from different countries, including Barcelona Clinic Liver Cancer （BCLC）, European Association for the Study of the Liver and European Organization for Research and Treatment of Cancer （EASL-EORTC） , American Association for the Study of Liver Diseases （AASLD） , National Comprehensive Cancer Network （NCCN）, Asia-Pacific Primary Liver Cancer Expert （APPLE）, Korean Liver Cancer Study Group and National Cancer Center （KLCSG-NCC） , and Chinese Society for Therapeutic Radiology and Oncology （CSTRO）, Chinese Medical Association. Although radiotherapy is commonly used in clinical practice, some guidelines do not accept it as a standard treatment strategy. In this article, we review the current treatment guidelines and discuss the current status and future prospects of radiotherapy in the management of primary liver cancer.