Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
Clin Liver Dis. 2015 May;19(2):277-94. doi: 10.1016/j.cld.2015.01.011.
Classification and staging of hepatocellular carcinoma in a way that allows optimal treatment selection is challenging. This article summarizes some of the classification and staging schemes and discusses the conceptual framework that guides optimal treatment selection for each patient. The article does not exhaustively discuss each staging system proposed in the last three decades, but rather reviews the most commonly used staging systems, evaluates the rationale behind some of the newer staging systems, and compares them focusing on their use in clinical decision-making, notably choice of therapy.
以能够优化治疗选择的方式对肝细胞癌进行分类和分期极具挑战性。本文总结了一些分类和分期方案，并讨论了指导每位患者最佳治疗选择的概念框架。本文没有详尽地讨论过去三十年中提出的每一个分期系统，而是回顾了最常用的分期系统，评估了一些新分期系统背后的基本原理，并对它们进行了比较，重点是它们在临床决策中的应用，特别是治疗选择。
