Initial Strategies in Advanced HCC: Case 1

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Initial Strategies in Advanced HCC

December 2014

  • A 64-year old male positive with HCV presents to his PCP with nausea, vomiting, syncope
  • ECOG=1
  • Child-Pugh B
  • T bilirubin 2.1; albumin 3.2; INR 1.1; no ascites, no encephalopathy; platelets 78
  • CT scan revealed one 4-cm lesion in the liver
  • No extrahepatic disease; no portal vein invasion
  • Laboratory results: AFP=400 ng/ml
  • Patient is within Milan criteria
  • Bridge using TACE until liver transplantation
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