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    • Calcs that help predict probability of a diseaseDiagnosis
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    Metroticket Calculator for Hepatocellular Carcinoma (HCC) Survival

    Predicts survival for patients with HCC.
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    When to Use
    Pearls/Pitfalls
    Why Use
    • Derived in order to explore whether certain patients not fulfilling Milan Criteria could potentially benefit from liver transplant.
    • Similar survival as Milan criteria if criteria are expanded to Up-to-Seven(size of largest tumor in cm + number of tumors ≥7).
    • Not as widely used or validated as the original Milan criteria.
    • Tumor grade was not included as a prognostic factor, though it is known to correlate with survival. The authors cited a high number of patients missing data on tumor grade (28.5%) and used vascular invasion as an alternate pathologic parameter. 
    • Patients with HCC not fulfilling Milan Criteria but who may be considered for transplant with similar benefit.
    • Allows patients who don't fit the original Milan Criteria to be considered for transplantation with similar predicted survival benefit.
    • Offers potential curative option for patients who don't meet the Milan criteria.
    mm
    Unknown
    0
    Absent
    +1
    Present
    +2

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    Next Steps
    Evidence
    Creator Insights

    Advice

    • For patients who fail to meet the Milan Criteria but fulfill the up-to-seven criteria, consider transplant evaluation.
    About the Creator
    Dr. Vincenzo Mazzaferro
    Are you Dr. Vincenzo Mazzaferro?