BCLC staging for HCC

Stage

Pst

Tumor status

Liver function status

Tumor stage

Okuda stage

Stage A: early HCC

0

A1

0

Single, <5 cm

I

No portal hypertension and normal bilirubin

A2

0

Single, <5 cm

I

portal hypertension and normal bilirubin

A3

0

Single, <5 cm

I

portal hypertension and abnormal bilirubin

A4

0

3 tumours < 3 cm

I

Child-pugh A-B

Stage B: intermediate stage

0

Large multinodular

I-II

Child-pugh A-B

Stage C: advanced stage

1 - 2*

Vascular invasion or extra hepatic spreadᵃ

I-II

Child-pugh A-B

Stage D: end-stage HCC

3 - 4ᵇ

Any

IIIᵇ

Child-pugh Cᵇ