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. 2020 Mar 27;12(3):85–92. doi: 10.4240/wjgs.v12.i3.85

Table 4.

Kinki Criteria

BCLC substage B1 B2 B3
Child-Pugh score 5-7 5-7 8-9
Beyond Milan and within up-to-7 In Out Any
In Out
Sub-substage B3-a B3-b
Concept of treatment strategy Curative intent Non-curative, palliative Curative intent if within up-to-7 Palliative, no treatment
Treatment option Resection Ablation Superselective c-TACE DEB-TACE1 HAIC2 Sorafenib3 Transplantation Ablation Superselective c-TACE HAIC Selective DEB-TACE
Alternative DEB-TACE (large, C-P 7) B-TACE4 c-TACE DEB-TACE B-TACE, HAIC BSC
1

DEB-TACE is recommended for huge tumors that are > 6 cm;

2

HAIC is recommended for multiple tumors > 6;

3

Sorafenib is recommended for patients with liver function of Child-Pugh score 5 and 6;

4

B-TACE is recommended for fewer tumors. TACE: Transcatheter arterial chemoembolization; c-TACE: Conventional subsegmental lipiodol TACE; DEB-TACE: TACE with drug-eluting beads; B-TACE: Balloon occluded TACE; HAIC: Hepatic arterial infusion chemotherapy; BSC: Best supportive care; C-P: Child-Pugh score; BCLC: Barcelona Clinic Liver Cancer.