Professor Lencioni ILCA 2011.pdf - Biocompatibles

BCLC staging system and treatment strategyHCCPS 0, Child–Pugh APS 0–2, Child–Pugh A–BPS > 2, Child–Pugh CVery early stage (0)Single< 2 cmEarly stage (A)Single or 3 nodules< 3 cm, PS 0Intermediate stage (B)Multinodular,PS 0Advanced stage (C)Portal invasion,N1, M1, PS 1–2End stage (D)Single3 nodules ≤ 3 cmPortal pressure/bilirubin↑Associated diseasesNormalNoYesResectionTransplantAblationTACESorafenibBSCadapted from Bruix J, Sherman M. Hepatology 2011;53:1020-2