Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges

<p>The World Health Organization&rsquo;s global health estimates in 2022 showed that primary liver cancer ranks as the sixth most common cancer globally, impacting over 866,000 patients worldwide, and is the third leading cause of cancer death globally, with a higher prevalence in Asia. Hepatocellul...

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Main Authors: Sumou, Ingrid Karmane, Peng, Xianghong
Format: Book Chapter
Language:English
Published: IntechOpen 2026
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Online Access:https://www.intechopen.com/chapters/1237192
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author Sumou, Ingrid Karmane
Peng, Xianghong
author_browse Peng, Xianghong
Sumou, Ingrid Karmane
author_facet Sumou, Ingrid Karmane
Peng, Xianghong
author_sort Sumou, Ingrid Karmane
building IntechOpen
collection Acceso abierto
description <p>The World Health Organization&rsquo;s global health estimates in 2022 showed that primary liver cancer ranks as the sixth most common cancer globally, impacting over 866,000 patients worldwide, and is the third leading cause of cancer death globally, with a higher prevalence in Asia. Hepatocellular carcinoma (HCC) contributes 85&ndash;90% of primary liver cancer. Despite vaccinations and screening programs, HCC patients far too often present with advanced, unresectable disease. The underlying liver disease compromising liver function often perplexes treatment. Common etiologies include chronic viral hepatitis (types B and C), excessive alcohol consumption, and exposure to aflatoxin, with significant geographic variation. The therapeutic landscape for unresectable HCC (uHCC) is advancing with the advent of novel agents. Bona fide validation on the management of uHCC remains a challenge, especially across geographic areas. There is, at present, no consensus guideline on the optimal treatment sequence. In this chapter, we discuss the present landscape of treatment and future challenges.</p>
doi_str_mv 10.5772/intechopen.1014154
first_indexed 2026-10-15T21:41:30Z
format Book Chapter
fullrecord <oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><identifier>intech-1237192</identifier><datestamp>2026-01-26</datestamp> <dc:title>Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges</dc:title> <dc:creator>Ingrid Karmane Sumou</dc:creator> <dc:creator>Xianghong Peng</dc:creator> <dc:subject>Health Sciences</dc:subject> <dc:description>&lt;p&gt;The World Health Organization&amp;rsquo;s global health estimates in 2022 showed that primary liver cancer ranks as the sixth most common cancer globally, impacting over 866,000 patients worldwide, and is the third leading cause of cancer death globally, with a higher prevalence in Asia. Hepatocellular carcinoma (HCC) contributes 85&amp;ndash;90% of primary liver cancer. Despite vaccinations and screening programs, HCC patients far too often present with advanced, unresectable disease. The underlying liver disease compromising liver function often perplexes treatment. Common etiologies include chronic viral hepatitis (types B and C), excessive alcohol consumption, and exposure to aflatoxin, with significant geographic variation. The therapeutic landscape for unresectable HCC (uHCC) is advancing with the advent of novel agents. Bona fide validation on the management of uHCC remains a challenge, especially across geographic areas. There is, at present, no consensus guideline on the optimal treatment sequence. In this chapter, we discuss the present landscape of treatment and future challenges.&lt;/p&gt;</dc:description> <dc:publisher>IntechOpen</dc:publisher> <dc:date>2026-01-26</dc:date> <dc:type>Chapter, Part Of Book</dc:type> <dc:identifier>https://www.intechopen.com/chapters/1237192</dc:identifier> <dc:identifier>doi:10.5772/intechopen.1014154</dc:identifier> <dc:language>en</dc:language> <dc:relation>ISBN:978-1-80631-118-7</dc:relation> <dc:rights>https://creativecommons.org/licenses/by/3.0/</dc:rights> <dc:source>https://www.intechopen.com/books/1004856 ; Liver Cancer - Recent Advances in 2026</dc:source> </oai_dc:dc>
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spelling intech-12371922026-01-26 Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges Ingrid Karmane Sumou Xianghong Peng Health Sciences <p>The World Health Organization&rsquo;s global health estimates in 2022 showed that primary liver cancer ranks as the sixth most common cancer globally, impacting over 866,000 patients worldwide, and is the third leading cause of cancer death globally, with a higher prevalence in Asia. Hepatocellular carcinoma (HCC) contributes 85&ndash;90% of primary liver cancer. Despite vaccinations and screening programs, HCC patients far too often present with advanced, unresectable disease. The underlying liver disease compromising liver function often perplexes treatment. Common etiologies include chronic viral hepatitis (types B and C), excessive alcohol consumption, and exposure to aflatoxin, with significant geographic variation. The therapeutic landscape for unresectable HCC (uHCC) is advancing with the advent of novel agents. Bona fide validation on the management of uHCC remains a challenge, especially across geographic areas. There is, at present, no consensus guideline on the optimal treatment sequence. In this chapter, we discuss the present landscape of treatment and future challenges.</p> IntechOpen 2026-01-26 Chapter, Part Of Book https://www.intechopen.com/chapters/1237192 doi:10.5772/intechopen.1014154 en ISBN:978-1-80631-118-7 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/1004856 ; Liver Cancer - Recent Advances in 2026
spellingShingle Health Sciences
Sumou, Ingrid Karmane
Peng, Xianghong
Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges
title Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges
title_full Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges
title_fullStr Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges
title_full_unstemmed Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges
title_short Systemic Therapy for Unresectable Hepatocellular Carcinoma: Present Landscape and Future Challenges
title_sort systemic therapy for unresectable hepatocellular carcinoma present landscape and future challenges
topic Health Sciences
url https://www.intechopen.com/chapters/1237192
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AT pengxianghong systemictherapyforunresectablehepatocellularcarcinomapresentlandscapeandfuturechallenges