Description

Kadalayil et al developed a prognostic score for patients with a hepatocellular carcinoma who underwent transarterial embolisation (TAE). This can help to predict the outcome for the patient. The authors are from multiple cancer centers in England.


 

Patient selection: hepatocellular carcinoma, candidate for TAE

 

Parameters:

(1) serum albumin in g/L

(2) serum total bilirubin in µmol/L

(3) serum AFP in ng/mL

(4) diamteter of the dominant tumor in cm

 

Parameter

Finding

Points

serum albumin

< 36 g/L

1

 

>= 36 g/L

0

serum total bilirubin

<= 17 µmol/L

0

 

> 17 µmol/L

1

serum AFP

<= 400 ng/mL

0

 

> 400 ng/mL

1

diameter

<= 7 cm

0

 

> 7 cm

1

 

hepatoma arterial-embolisation prognostic (HAP score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 4

 

Score

Prognostic Group

Median Survival

0

A

27.6 months

1

B

18.5 months

2

C

9 months

3 or 4

D

3.6 months

 


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