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KMID : 1104820160040010021
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Journal of Digestive Cancer Research
2016 Volume.4 No. 1 p.21 ~ p.28
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Clinical Practice Guidelines for Hepatocellular Carcinoma: Current and Future Perspectives
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Kim Bo-Hyun
Park Joong-Won
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Abstract
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Hepatocellular carcinoma (HCC) is rather unique. Most of HCC patients have underlying chronic liver diseases with or without cirrhosis and the prognosis of HCC depends on the liver function, as well as the tumor extent. Non-invasive diagnosis of HCC can be made with certain risk factors and specific imaging findings (e.g. hypervascularity). Patients with HCC can receive surgical resection, radiotherapy, and systemic chemotherapy as other solid malignancies. HCC has more treatment options such as liver transplantation, transarterial chemoembolization (TACE) and radiofrequency ablation (RFA). A variety of practice guidelines for HCC has been published by many academic societies. Different healthcare systems and availability of resources also affect the practice guidelines; therefore, practice guidelines have similarities and dissimilarities. Herein, we review the current status of practice guidelines for HCC and future perspectives for the improvement of guidelines are also discussed.
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KEYWORD
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Hepatocellular carcinoma, Practice guideline
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