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Liver  neoplasm
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
metastases ,[object Object]
Symptoms and signs
[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
Diagnosis qualitative and orientation
[object Object],[object Object],[object Object]
[object Object],[object Object]
Location of the tumor
[object Object],[object Object],[object Object]
[object Object]
 
 
Liver Function Assessment
* Grade A, 5–6 points; grade B, 7–9 points; grade C, 10–15 points  Child-Pugh Classification   Advanced Minimal None Encephalopathy Moderate Slight None Ascites >6 4–6 1–3 PT time (increased seconds) <2.8 2.8–3.5 >3.5 Albumin (g/dL) >3 2–3 <2 Bilirubin (mg/dL) 3 2 1 No. of Points     Factor
Staging of the disease ,[object Object]
Okuda Staging System for Hepatocellular Carcinoma Stage 1 = 0 points; stage 2 = 1–2 points; stage 3 = 3–4 points   1 > 3 0 <3 Serum total bilirubin (mg/dL) 1 <3 0 >3 Serum albumin (mg/dL) 0 Absent 1 Present Ascites 0 <50% 1 >50% Tumor size  Points Cut-off Values Clinical Parameters
American Joint Committee on Cancer (AJCC) TNM Staging for Liver Tumors (Including Intrahepatic Bile Ducts
 
[object Object],[object Object],[object Object],[object Object]
Treatment
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Assessment and Evaluation ,[object Object],[object Object]
[object Object],[object Object]
Right Hemihepatectomy
Left Hemihepatectomy
[object Object]
[object Object],[object Object],[object Object],liver transplantation
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Surveillance ,[object Object]
Other Liver tumor
[object Object],[object Object],[object Object],[object Object]
[object Object]

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