TNM Staging for Hepatocellular Carcinoma (HCC)
Stages hepatocellular carcinoma based on tumor, lymph node and metastasis characteristics.
When to Use
No evidence of primary tumor
Solitary tumor without vascular invasion
Solitary tumor with vascular invasion or multiple tumors, none > 5 cm
Multiple tumors > 5 cm
Single tumor or multiple tumors of any size involving a major branch of the portal or hepatic vein
Tumor(s) with direct invasion of adjacent organs other than gallbladder or with visceral peritoneum
Primary tumor cannot be assessed
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- National Comprehensive Cancer Network (NCCN) guidelines use TNM staging for treatment recommendations, but note that many staging systems exist, all have limitations, and some are region-dependent.
- Can only be used if patient has had surgical resection.
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