Abstract
All decision making for treatment depends on the totality of a limited number of tumor and liver parameters, with two of them excluding curative therapies. These two are: presence of extra- hepatic metastases and presence of macroscopic (observable on CT or MRI scan) main PVT. Metastasis is a definitive exclusion criterion, whereas PVT may be relative, depending on its extent and how good the liver function is. Decision making is thus based on a series of exclusions (see list below). The list below follows general clinical practice guidelines only. There will likely be various combinations of tumor and liver abnormalities that only a multidisciplinary team can assess in its totality for any individual patient. For example, a single branch PVT in a < 3 cm HCC, which is common, could be approached with resection, ablation, TACE/chemoembolization or radioembolization, or by resection alone for a > 3 cm tumor mass.
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© 2014 Springer Healthcare
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Carr, B.I. (2014). Addendum. In: Understanding Liver Cancer. Springer Healthcare, Tarporley. https://doi.org/10.1007/978-1-910315-02-6_6
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DOI: https://doi.org/10.1007/978-1-910315-02-6_6
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