Early diagnosis and treatment of hepatocellular carcinoma

Josep M. Llovet, Jordi Bruix

Research output: Contribution to journalArticlepeer-review

44 Scopus citations


The incidence of hepatocellular carcinoma is increasing world-wide. Although there are no randomized controlled trials showing benefits from surveillance programmes, these strategies have been widely practised by hepatologists, and most early tumours are diagnosed in the setting of such a policy. In this chapter we summarize the surveillance schedule and recall the policy applied in our Unit. Diagnosis at an early stage is crucial to allow the application of curative treatments that are the only hope for increasing the life expectancy of the patient. Surgical resection and liver transplantation are considered the first-line options for early tumours, although there is no agreement on which is the best approach. Resection is limited by the high recurrence rate, whereas the increasing waiting times have decreased the intention-to-treat outcomes of transplantation. Percutaneous treatments are reserved for patients with single non-surgical tumours. Clinical trials assessing treatments for patients with advanced tumours have not shown any survival benefits.

Original languageEnglish
Pages (from-to)991-1008
Number of pages18
JournalBest Practice and Research: Clinical Gastroenterology
Issue number6
StatePublished - 2000
Externally publishedYes


  • Arterial embolization
  • Hepatocellular carcinoma
  • Liver transplantation
  • Percutaneous ethanol injection
  • Prognosis
  • Randomized controlled trials
  • Resection
  • Surveillance
  • Survival
  • Thermal ablation


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