Diagnosis and Management of Immunotherapy-related Liver Toxicity

Immune checkpoint inhibitors have revolutionized the treatment of cancer. With the increasing use of immunotherapy, clinicians have observed that immunotherapy is often related to a spectrum of adverse events. Liver toxicity is one of the most common and severe immune-related adverse events. It is v...

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Auteurs principaux: HUA Yuwei, ZHAO Lin
Format: article
Langue:ZH
Publié: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2021
Sujets:
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Accès en ligne:https://doaj.org/article/fedbee7a61344b0c8c947a5280bf250b
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Résumé:Immune checkpoint inhibitors have revolutionized the treatment of cancer. With the increasing use of immunotherapy, clinicians have observed that immunotherapy is often related to a spectrum of adverse events. Liver toxicity is one of the most common and severe immune-related adverse events. It is very important to increase awareness and outline a clear and detailed strategy of managing immune-related liver toxicity. Some guidelines have published systematic advice on the management of immune-related liver toxicity. However, there are controversial problems remaining, including the levels of liver toxicity, the minimal effective dosage of hormone, treatments for hormone-refractory patients, and immunotherapy re-challenge. Additional, finding predictors with high specificity and sensitivity is a pressing concern.