Table 1.
Comparison of major society guidelines for hepatocellular carcinoma surveillance
Society | American Association for the Study of Liver Diseases | European Association for the Study of the Liver | Japan Society of Hepatology | Asian Pacific Association for the Study of the Liver |
---|---|---|---|---|
Population | Child-Pugh A or B cirrhosis Child-Pugh C cirrhosis awaiting transplant Hepatitis B: Asian males > 40 years Asian females > 50 years Family history of HCC African and/or North American blacks |
Child-Pugh A or B cirrhosis Child-Pugh C cirrhosis awaiting transplant Hepatitis B at intermediate or high risk of HCC according to PAGE-B score Non-cirrhotic F3 patients, regardless of etiology, may be considered based on individual risk assessment |
High risk: Cirrhosis Chronic hepatitis B Chronic Hepatitis C Extremely high risk: Cirrhosis due to hepatitis B Cirrhosis due to hepatitis C |
Cirrhosis Hepatitis B: Asian males > 40 years Asian females > 50 years Family history of HCC Africans > 20 years old |
Modality | Ultrasound +/− AFP | Ultrasound | Ultrasound + AFP, DCP, AFP-L3 | Ultrasound + AFP |
Surveillance interval | Every 6 months | Every 6 months | Every 6 months for high risk patients Every 3–4 months for extremely high risk patients |
Every 6 months |