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. 2015 Feb 27;7(2):261–269. doi: 10.4254/wjh.v7.i2.261

Table 2.

Treatment options for hepatocellular carcinoma in barcelona clinic liver cancer system and Japanese guidelines

Tumor number Tumor size (cm) Child-Pugh class Treatment
BCLC system Japanese guidelines
Single 2 A, B Resection 1 Resection
2 Ablation
2.1-3 A, B 1 Resection 1 Resection
2 Transplantation or ablation 2 Ablation
3.1-5 A, B 1 Resection Resection
2 Transplantation
2 or 3 nodules ≤ 3 A, B Transplantation or ablation Resection or ablation
C Palliative care Transplantation
> 3 A, B Chemoembolization 1 Resection
2 Chemoembolization
4 or more nodules A, B Chemoembolization 1 Chemoembolization
2 Chemotherapy
C Palliative care Palliative care

Degree of Liver damage replaced Child-Pugh classification as liver function in Japan Revise from ref. [22].