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Early hepatocellular carcinoma (BCLC 0 and A): lines of therapy

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5 standard-of-care settings across 1 lines and 1 biomarker subgroup. Rows come from the cancer page's standard of care; the grid places each on its line and subgroup.

LineAll comers
Other settings5

Other settings

SubgroupSettingApproachProducts and trialsEvidence
All comersSingle tumour, preserved liver functionHepatectomy, increasingly laparoscopic or robotic; ablation as an alternative for tumours up to 3 cm.40
All comersWithin Milan criteria with cirrhosis or portal hypertensionLiver transplantation, with bridging ablation or chemoembolisation on the waiting list and downstaging for patients just outside the criteria.59
All comersNot suitable for surgery or ablationStereotactic body radiotherapy or radioembolisation.40
All comersAfter curative treatmentNo proven adjuvant therapy (STORM and IMbrave050 negative in the end); antiviral therapy, alcohol abstinence and continued imaging surveillance.98
All comersDetectionSix-monthly ultrasound with alpha-fetoprotein in cirrhosis and chronic hepatitis B.40

Lines and subgroups are parsed from the setting text of each standard-of-care row and can misclassify an unusual phrasing; the row’s own setting is always shown. Guideline chips reflect the NCCN category and ESMO-MCBS grade recorded on the cancer page, checked on its stated date. Not medical advice.