MDCalc

Barcelona-Clinic Liver Cancer (BCLC) Staging Classification and Treatment Guidelines

Determines progression of disease and proper treatment course for patients with HCC.

Nodule

Liver function

Result:

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Advice
  • Patients with stage 0 (very early stage) should be considered for ablation or resection.
  • Patients with stage A HCC (early) may be considered for surgical resection, ablation, or transplant depending on clinical factors. 
  • Patients with stage B or C HCC (intermediate or advanced, respectively) should be considered for palliative treatment including transarterial chemoembolization (TACE) or novel chemotherapy agents.
  • Patients with stage D HCC (end-stage) should undergo supportive treatment only.