Figure 2. The BCLC Staging System and Treatment Allocation HCC
PS 0, Child-Pugh A Stage 0
PS 0-2, Child-Pugh A-B Stage A-C
PS > 2 Child-Pugh C Stage D
1 HCC < 2 cm
Very early stage (0)
nodules < 3 cm PS 0
Early stage (A) 1 HCC or 3
Multinodular PS 0
Intermediate stage (B)
Portal invasion N1, M1, PS 1-2
Advanced stage (C)
stage (D)
End
1 HCC
Portal pressure/ bilirubin
Increased Normal
Associated diseases
NO YES Resection Transplantation RFA Curative treatments TACE Sorafenib Palliative treatments
3 nodules ≤ 3 cm
Symptomatic treatment
