Table 1.
BCLC Stage | Description | Curative Therapies | Considerations | Additional Therapies |
---|---|---|---|---|
Very early (BCLC-0) | Solitary HCC ≤ 2 cm Preserved liver function |
Liver transplantation Surgical resection Thermal Ablation |
Liver transplantation candidacy: Not LT candidate → ablation LT candidate with no CSPH → SR LT candidate with CSPH → Ablation or LT |
TARE (solitary lesion ≤ 8 cm) TACE |
Early (BCLC-A) | Solitary HCC any size or HCC with ≤3 lesions all ≤3 cm Preserved liver function |
Liver transplantation Surgical resection Thermal Ablation (for lesions ≤ 3 cm) |
CSPH: Absent → SR Present and LT candidate → LT Present and not LT candidate → ablation |
TARE (solitary lesion ≤ 8 cm) TACE |