Treatment guidance based on BCLC staging system for HCC

BCLC stage

Tumour stage

CP class

ECOG Ps

Recommended

Very early (0)

1 HCC < 2 cm

A

0

Resection

transplantation

RFA

Early (A)

1 HCC < 5 cm or 3 nodules < 3 cm

A or B

0

Intermediate(B)

Multinodular

A or B

0

TACE

Advanced (C)

Portal invasion, N1M1

A or B

1 - 2

Sorafenib

End-stage (D)

Any

C

>2

Symptomatic treatment