Hepatocellular Carcinoma Management - By Dr. Sidra Zahoor

HCC Management - By Dr. Sidra Zahoor

CANDIDATE FOR SURGERY

• Single lesion <5cm (or 6.5cm-UCSF)
• 3 lesions less than 3cm (or less than 4.5 cm)
• Ensure absence of mets/Vascular invasions

CANDIDATE FOR DOWNSTAGING

• Single lesion 5-8cm
• 2-3 lesions <5cm
• 4-5 lesions <3cm
• Total size <8cm

CANDIDATE FOR ABLATION
Single lesion <2cm, not a candidate for surgery

TACE

• Multifocal, no PVT
• Beyond milan

For Liver Transplant
Rule Out Contraindications:

• Mets/PVTT
• Poor performance status
• Infection/organ failure
• Psychosocial issues