Table 1. Comparison of Treatment Guidelines for Stereotactic Body Radiotherapy-Eligible Hepatocellular Carcinoma.
Guidelines | |||||
---|---|---|---|---|---|
BCLC | NCCN | APPLE | KLSCG-NCC | ||
Single, ≤2 cm, without VI | Subgroup | Very early | Resectable or transplantable | Very early | mUICC Stage I |
Primary or preferred option | Resection (or LT/RFA/ PEI, if portal pressure/ bilirubin increased) | Resection or LT | Resection (or LT/RFA/PEI, if portal pressure/bilirubin increased) | Resection or RFA | |
Alternative option | (−) | Locoregional treatment (Ablation, arterial directed therapies, EBRT) | EBRT | TACE, PEI, or EBRT | |
Single, >2 cm, without VI | Subgroup | Early | Resectable or transplantable | Early | mUICC Stage II |
Primary or preferred option | LT or RFA/PEI | Resection or LT | LT or RFA/PEI | Resection or RFA | |
Alternative option | (−) | Locoregional treatment (Ablation, arterial directed therapies, EBRT) | SABR, hypofractionated RT | TACE, LT, or EBRT |
BCLC, Barcelona clinic liver cancer; NCCN, National Comprehensive Cancer Network; APPLE, Asia Pacific Primary Liver Cancer Expert Meeting; KLCSG-NCC, Korean Liver Cancer Study Group and the National Cancer Center; VI, vascular invasion; LT, liver transplantation; RFA, radiofrequency ablation; PEI, percutaneous ethanol injection; EBRT, external-beam radiotherapy; mUICC, modified Union for International Cancer Control; TACE, transarterial chemoembolization; RT, radiotherapy; SABR, stereotactic ablative radiotherapy.