HCC in Cirrhotics With Retained Liver Function and Absent Portal Hypertension: Still a Surgical Disease

This patient is presenting with a single lesion and retained liver function (1). He is noted to have a Childs-Turcotte-Pugh score of A5, and his calculated Model for End-Stage Liver Disease score (assuming a normal sodium level) is 10, predicting a 90-day mortality of 6% from a liver disease standpoint. Importantly, there is no evidence of portal hypertension. Based on one of the most commonly used hepatocellular carcinoma staging systems, the Barcelona Clinic Liver Cancer staging system, he has early stage Barcelona Clinic Liver Cancer-A disease (2).

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