TABLE 4.
Tumour criteria | |
Listing | Total tumour volume ≤115 cm3 AND alpha-fetoprotein ≤ 400 ng/mL |
Down staging | Total tumour volume ≤250 cm3 regardless of alpha-fetoprotein level, who achieve listing criteria AND remain stable for 6 months |
Patient criteria | |
Age | Typically younger than 70 years of age, should have no comorbidities if 65 to 69 years of age |
Medical | No major cardiopulmonary issues, nonsmoker, HIV negative, appropriate nutritional status, etc |
Social | Adequate support, compliance, appropriate abstinence and rehabilitation if addiction issues* |
Patients being considered for liver transplantation in which alcohol has played a component in the development of liver disease will only be permitted to undergo liver transplantation workup after they fulfill the criteria for listing including abstinence from alcohol (and in some cases, other illicit drugs including marijuana) for six months with certified attendance at an alcohol rehabilitation centre