Eastern stage of resectable hepatocellular carcinoma (Eastern Staging)

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Through the summary of 1000 cases of surgical resection in patients with primary liver cancer clinical data and follow-up results, using sta

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Through the summary of 1000 cases of surgical resection in patients with primary liver cancer clinical data and follow-up results, using statistical methods to analyze the prognostic factors, independent risk factors for long-term survival obtained 10 effect of hepatocellular carcinoma after operation, and to establish a new standard for resectable HCC staging, staging (named Oriental Eastern staging). Through statistical analysis, confirmed in HBV associated hepatocellular carcinoma of Oriental people, our new Oriental staging and prognosis of hepatocellular carcinoma was obviously better than that of current international common criteria, including the Barcelona stage (BCLC), the Italy (CLIP), making the staging of the American Cancer Society TNM staging (AJCC, Sixth Edition), Japanese (JIS), the staging China University prognostic index (CUPI) and the Okuda staging. The author believes that Eastern staging is more conducive to predict the survival of patients with liver cancer after hepatectomy in mainland China, and provide a basis for the understanding of the prognosis of patients and doctors.

(Yang T, Zhang J, Lu JH, Yang LQ, Yang GS, Wu MC, Yu WF. A new staging system for resectable hepatocellular carcinoma: comparison with six existing staging systems in a large Chinese cohort. J Cancer Res Clin Oncol 2011.137 (5): 739-750.)

Reference variable

Score

0 points

1 points

Macroscopic vascular invasion

no

yes

Tumor number

Single shot

Multiple

Physical status classification (ECOG)

1-2

Microscopic vascular invasion

no

yes

Extrahepatic metastasis

no

yes

Maximum tumor diameter

Less than 5 cm.

> 5 cm

Preoperative albumin

More than 35 g/L

< 35 g/L

Preoperative aspartate aminotransferase

Less than 40 U/L

> 40 U/L

Preoperative total bilirubin

Less than or equal to 17 mu mol/L

> 17 mol/L

Liver cirrhosis

no

yes

Eastern staging

Total score

1

0-1

2

2-3

3

4-5

4

6-7

5

8-10 points

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