Initial Strategies in Advanced HCC: Case 1

December 2014

• A 64-year old male positive with HCV presents to his PCP with nausea, vomiting, syncope
• ECOG=1
• Child-Pugh B
• T bilirubin 2.1; albumin 3.2; INR 1.1; no ascites, no encephalopathy; platelets 78
• CT scan revealed one 4-cm lesion in the liver
• No extrahepatic disease; no portal vein invasion
• Laboratory results: AFP=400 ng/ml
• Patient is within Milan criteria
• Bridge using TACE until liver transplantation