MDCalc

ALBI (Albumin-Bilirubin) Grade for Hepatocellular Carcinoma (HCC)

Predicts survival in HCC patients.

Result:

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Advice
  • Management of HCC depends on multiple factors, including tumor characteristics, comorbidities, underlying liver function, and availability/experience with certain therapeutic procedures.
  • Consider a multidisciplinary approach (e.g., hepatologist, oncologist, surgeon) based on ALBI grade and the overall clinical picture.
  • Low grade (Grade 1): 
    • Suggests preserved liver function.
    • The patient may be a candidate for more aggressive treatment options, including surgical resection and/or transcatheter arterial chemoembolization (TACE).
  • Higher grades (Grade 2 or 3): 
    • Indicates worse liver function.
    • Depending on the clinical picture, some patients may not be candidates for certain therapeutic procedures. 
    • Select patients may be appropriate for transplant.