肝癌规范化治疗课件（精品）.pptVIP

Japan Society of Hepatology:consensus-based treatment algorithm for HCC Kudo M. Oncology. 2009;75 Suppl 1:1-12. Subject to PATH Program Disclaimer Extrahepatic metastasis Main portal vein tumor thrombus Resectable Sorafenib or systemic therapy trial Resection / RFA (for 3 cm HCC) Solitary tumor ? 5 cm ? 3 tumors ? 3 cm No venous invasion Child-Pugh A Child-Pugh B Child-Pugh C Child-Pugh A / B Child-Pugh C Transplantation TACE Supportive care Local ablation HCC Confined to the liver Main portal vein patent APASL workin