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← Primary Liver Cancer

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.

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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