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Description

Zheng et al estimated the risk of recurrence for an hepatocellular carcinoma using a clinical risk score. This can help to identify a patient who may benefit from liver transplantation. The authors are from multiple institutions from around the would.


Patient: hepatocellular carcinoma

 

Outcome: risk of recurrence after resection

 

Parameters:

(1) preoperative disease status relative to Milan criteria

(2) number of tumor nodules

(3) microvascular invasion

 

Parameter

Finding

Points

preoperative status

within Milan criteria

0

 

beyond Milan criteria

1

number of tumor nodules

1

0

 

>= 2 (multinodular or satellites)

1

microvascular invasion

absent

0

 

present

1

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

minimum score: 0

maximum score: 3

The higher the score the greater the risk of recurrence.

 

Total Score

5-Year Recurrence

0

19%

1

34%

2

49%

3

67%

 


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