Barcelona clinic liver cancer (BCLC) staging classification

Case contributed by Matt A. Morgan
Diagnosis not applicable

Diagram of the Barcelona Clinic Liver Cancer (BCLC) therapeutic and prognostic classification.

  • PS: performance status, staged 0-4, similar to the ECOG performance status
  • N and M: nodal and metastatic staging, as described in IIIa
  • portal pressure obtained through hepatic vein catheterization
    • HVPG ≥10 or higher defines clinically significant portal hypertension (also indicated by the presence of varices or portosystemic collaterals)

Reference: Forner A, Reig ME, de Lope CR et-al. Current strategy for staging and treatment: the BCLC update and future prospects. Semin. Liver Dis. 2010;30 (01): 61-74.

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