HEALTH PROFESSIONAL · SOURCE READING
Treatment Options for Locally Advanced or Metastatic Primary Liver Cancer
Source: Primary Liver Cancer Treatment (PDQ®)–Health Professional Version, National Cancer Institute.
Source updated: April 17, 2025 · Captured 2026-09-09.
Selected source text with whitespace normalised. This Triangle page is not an NCI PDQ summary.
Context: Treatment of Locally Advanced or Metastatic Primary Liver Cancer
Treatment options for locally advanced or metastatic primary liver cancer not amenable to surgical or locoregional interventions include:
Transarterial embolization (TAE) and transcatheter arterial chemoembolization (TACE) in patients with nonmetastatic disease.
First-line systemic therapy.
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First-line systemic therapy.
Combination immunotherapy and targeted therapy.
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First-line systemic therapy. › Combination immunotherapy and targeted therapy.
Atezolizumab and bevacizumab.
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First-line systemic therapy. › Combination immunotherapy and targeted therapy.
Atezolizumab and cabozantinib.
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First-line systemic therapy.
Combination immunotherapy alone.
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First-line systemic therapy. › Combination immunotherapy alone.
Doublet immune checkpoint inhibitors.
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First-line systemic therapy. › Combination immunotherapy alone.
Single-agent immune checkpoint inhibitors.
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First-line systemic therapy.
Targeted therapy (multikinase inhibitors).
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First-line systemic therapy. › Targeted therapy (multikinase inhibitors).
Lenvatinib.
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First-line systemic therapy. › Targeted therapy (multikinase inhibitors).
Sorafenib.
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Second-line systemic therapy.
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Second-line systemic therapy.
Targeted therapy (multikinase inhibitors).
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Second-line systemic therapy. › Targeted therapy (multikinase inhibitors).
Regorafenib.
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Second-line systemic therapy. › Targeted therapy (multikinase inhibitors).
Cabozantinib.
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Second-line systemic therapy. › Targeted therapy (multikinase inhibitors).
Ramucirumab.
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Second-line systemic therapy.
Combination immunotherapy and immunotherapy alone.
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Second-line systemic therapy. › Combination immunotherapy and immunotherapy alone.
Pembrolizumab.
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Second-line systemic therapy. › Combination immunotherapy and immunotherapy alone.
Nivolumab and ipilimumab.
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Second-line systemic therapy. › Combination immunotherapy and immunotherapy alone.
Nivolumab.
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Radiation therapy.
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Preserved source evidence · Not medical advice
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