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KMID : 1104820160040020092
Journal of Digestive Cancer Research
2016 Volume.4 No. 2 p.92 ~ p.98
Liver Resection for Hepatocellular Carcinoma Beyond BCLC A Stage
Song Tianqiang

Zhang Ti
Zhang Wei
Fang Feng
Wu Qiang
Cui Yunlong
Li Huikai
Li Qiang
Abstract
The barcelona clinic liver cancer (BCLC) staging systemis regarded as the optimal staging system to predict prognosis and guide treatmentfor hepatocellular carcinoma (HCC) .According to the BCLC classification, only patients with BCLC A stage should undergo liver resection. In contrast, patients with intermediate-advanced HCC should be scheduled for palliative therapies,such as transcatheter arterial chemoembolization (TACE) and target therapy, even if the lesion is resectable. More and more studies report good short-term and long-term outcomes in patients with intermediate-advanced HCC treated by radical resection and many patients benefited from curative resection. The aim of this review was to evaluate the role of surgery beyond the BCLC recommendations. A revision of the BCLC algorithm should be proposed.
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