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BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update
Open accessAbstract
There have been major advances in the armamentarium for hepatocellular carcinoma (HCC) since the last official update of the Barcelona Clinic Liver Cancer prognosis and treatment strategy published in 2018. Whilst there have been advances in all areas, we will focus on those that have led to a change in strategy and we will discuss why, despite being encouraging, data for select interventions are still too immature for them to be incorporated into an evidence-based model for clinicians and researchers. Finally, we describe the critical insight and expert knowledge that are required to make clinical decisions for individual patients, considering all of the parameters that must be considered to deliver personalised clinical management.
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Citations
Cites
Sorafenib in advanced hepatocellular carcinoma
Llovet, J. M., Ricci, S., Mazzaferro, V., Hilgard, P., Gane, E., Blanc, J.-F., de Oliveira, A. C., Santoro, A., Raoul, J.-L., Forner, A., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0708857 · Cited by 13,097
Self-citationErdogan, D., Heijnen, B. H. M., Bennink, R. J., Kok, M., Dinant, S., Straatsburg, I. H., Gouma, D. J., & van Gulik, T. M. (2004) · Liver International · doi:10.1111/j.1478-3231.2004.00901.x · Cited by 11,656
EASL Clinical Practice Guidelines: Management of hepatocellular carcinoma
Galle, P. R., Forner, A., Llovet, J. M., Mazzaferro, V., Piscaglia, F., Raoul, J.-L., Schirmacher, P., & Vilgrain, V. (2018) · Journal of Hepatology · doi:10.1016/j.jhep.2018.03.019 · Cited by 11,406
Self-citationTransection of the oesophagus for bleeding oesophageal varices
Pugh, R. N. H., Murray-Lyon, I. M., Dawson, J. L., Pietroni, M. C., & Williams, R. (1973) · Journal of British Surgery · doi:10.1002/bjs.1800600817 · Cited by 7,941
Atezolizumab plus bevacizumab in unresectable hepatocellular carcinoma
Finn, R. S., Qin, S., Ikeda, M., Galle, P. R., Ducreux, M., Kim, T.-Y., Kudo, M., Breder, V., Merle, P., Kaseb, A. O., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmoa1915745 · Cited by 7,470
Self-citationMazzaferro, V., Regalia, E., Doci, R., Andreola, S. A., Pulvirenti, A., Bozzetti, F., Montalto, F., Ammatuna, M., Morabito, A., & Gennari, L. (1996) · New England Journal of Medicine · doi:10.1056/nejm199603143341104 · Cited by 7,173
Self-citationA New Era of Systemic Therapy for Hepatocellular Carcinoma with Regorafenib and Lenvatinib
Kudo, M. (2017) · Liver Cancer · doi:10.1159/000462153 · Cited by 5,974
Cheng, A.-L., Kang, Y.-K., Chen, Z., Tsao, C.-J., Qin, S., Kim, J. S., Luo, R., Feng, J., Ye, S., Yang, T.-S., et al. (2009) · The Lancet Oncology · doi:10.1016/s1470-2045(08)70285-7 · Cited by 5,832
Forner, A., Reig, M., & Bruix, J. (2018) · The Lancet · doi:10.1016/s0140-6736(18)30010-2 · Cited by 5,774
Self-citationSorafenib in Advanced Hepatocellular Carcinoma
정, 재. (2008) · Cited by 5,586
Cited by
Sorted by citations
Items 801–900 of 1,000
Jeon, D., Song, G., Lee, H. C., & Shim, J. H. (2022) · Liver International · doi:10.1111/liv.15464 · Cited by 13
Zhu, L., Zhang, X., Xu, S., Hu, M., Zhao, Z., Zhao, G., Xiao, Z., & Liu, R. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1111246 · Cited by 13
Yuan, L.-Y., Feng, J.-K., Zhang, Y., Lu, C., Xu, L., Liang, C., Liu, Z., Mao, F., Xiang, Y., Wang, W., et al. (2023) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2023.01.020 · Cited by 13
Systemic therapy in advanced hepatocellular carcinoma
Ahn, J. C., Tran, N. H., & Yang, J. D. (2023) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2023.0051 · Cited by 14
Huang, S., Huang, C., Ko, C., Huang, C.-Y., Liu, S.-H., Lee, Y., Chen, T., Hsueh, C.-W., Tzou, S., Tai, M., et al. (2023) · Gene · doi:10.1016/j.gene.2023.147331 · Cited by 14
Giovannini, C., Suzzi, F., Tovoli, F., Bruccoleri, M., Marseglia, M., Alimenti, E., Fornari, F., Iavarone, M. A., Piscaglia, F., & Gramantieri, L. (2023) · Cancers · doi:10.3390/cancers15061661 · Cited by 13
“Thirty-eight patients with intermediate or advanced HCC (BCLC B and C) according to the BCLC staging system [20] not amenable to potentially curative treatments or TACE were screened, and four of them did not receive the indication for the atezolizumab–bevacizumab treatment due to ongoing anticoagulant treatment (one…”
BackgroundKuo, M., Tseng, C., Hsu, C., Chen, Y., Kao, I.-T., Wu, C., & Shao, S. (2023) · Cancers · doi:10.3390/cancers15092426 · Cited by 13
“survival time for advanced HCC patients [4].”
BackgroundInfluentialWeich, A., Serfling, S. E., Schlötelburg, W., Higuchi, T., Hartrampf, P. E., Schirbel, A., Heinrich, M., Buck, A. K., Rowe, S. P., Kosmala, A., et al. (2023) · Clinical Nuclear Medicine · doi:10.1097/rlu.0000000000004674 · Cited by 13
Kawamura, Y., Akuta, N., Shindoh, J., Matsumura, M., Okubo, S., Tominaga, L., Fujiyama, S., Hosaka, T., Saitoh, S., Sezaki, H., et al. (2023) · Cancers · doi:10.3390/cancers15153789 · Cited by 13
Liu, J., Wei, S., Yang, L., Yu, J., Duan, Y., & Yi, P. (2023) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-023-05231-x · Cited by 13
“For patients with unresectable HCC (uHCC), systematic therapies are presently regarded as the primary treatment option conferring real survival benefits (Reig et al. 2022).”
Liu, J., Yang, L., Song, W., Li, J., & Yi, P. (2023) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-023-05342-5 · Cited by 13
“For those patients with unresectable HCC (uHCC), systematic therapies are regarded as presently primary treatment which can confer real survival benefits (Reig et al. 2022).”
BackgroundThe Negative Impact of Sarcopenia on Hepatocellular Carcinoma Treatment Outcomes
Cespiati, A., Smith, D., Lombardi, R., & Fracanzani, A. L. (2024) · Cancers · doi:10.3390/cancers16132315 · Cited by 12
Jiang, H., Wei, H., Liang, L., Wang, Y., Kuang, M., Ronot, M., Song, B., & Lee, J. M. (2025) · Liver Cancer · doi:10.1159/000546966 · Cited by 15
Applications of artificial intelligence in liver cancer: A scoping review
Chierici, A. P., Lareyre, F., Iannelli, A., Salucki, B., Goffart, S., Guzzi, L., Poggi, E., Delingette, H., & Raffort, J. (2025) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2025.103244 · Cited by 16
Wehrle, C. J., Ahmed, A. F. S., Knott, E. A., Hong, H., Uysal, M., Schlegel, A. A., Berber, E., Walsh, R. M., Kim, J., Aucejo, F., et al. (2025) · Surgery · doi:10.1016/j.surg.2025.109898 · Cited by 12
EvoMDT: a self-evolving multi-agent system for structured clinical decision-making in multi-cancer
Liu, Q., Hu, Z., Huang, T., Niu, Y., Zhang, X., Ma, S., Lin, C., Goh, K. H., Kwon, H. E., Gao, F., et al. (2026) · npj Digital Medicine · doi:10.1038/s41746-025-02304-8 · Cited by 18
Animal Models of Hepatocellular Carcinoma for Local-Regional Intraarterial Therapies
Chandra, V., Wilkins, L. R., & Brautigan, D. L. (2022) · Radiology Imaging Cancer · doi:10.1148/rycan.210098 · Cited by 12
Prince, D. S., Schlaphoff, G., Davison, S. A., Huo, Y. R., Xiang, H., Chan, M. V., Lee, A. U., Thailakanathan, C., Jebeili, H., Rogan, C., et al. (2022) · Journal of Gastroenterology and Hepatology · doi:10.1111/jgh.15986 · Cited by 12
Microballoon Interventions for Liver Tumors: Review of Literature and Future Perspectives
Lucatelli, P., Rocco, B., Ciaglia, S., Damato, E., Mosconi, C., Argirò, R., & Catalano, C. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11185334 · Cited by 13
Peng, W. J., Zhang, X., Li, C., Zhu, X., Li, Q., Chen, W., Lu, W., Liu, C., Zhou, Y., Shi, Y., et al. (2022) · British journal of surgery · doi:10.1093/bjs/znac334 · Cited by 12
The regulation and functions of ACSL3 and ACSL4 in the liver and hepatocellular carcinoma
Liu, J. Y., & Waugh, M. G. (2022) · Liver Cancer International · doi:10.1002/lci2.68 · Cited by 12
Rincón, J. O., Regi, A. R., Peña, A. M. M., Berenguer, L. R., Leyte, M. G., Martín, L. C., Santa, J. A. G. D. L., Boyra, M. E., Ruiz, C. G., Rodríguez, A. C., et al. (2023) · EJNMMI Physics · doi:10.1186/s40658-022-00520-9 · Cited by 12
“Currently, the technology available in most centers performing TARE, comprising the incorporation of cone beam CT (CBCT), SPECT/CT gamma cameras and the design of dedicated software for voxel-based multicompartment dosimetric analysis, allows for much safer planning of the procedure and the implementation of highly pe…”
BackgroundInfluentialMinamiguchi, K., Nishiofuku, H., Saito, N., Sato, T. A., Taiji, R., Matsumoto, T., Maeda, S., Chanoki, Y., Tachiiri, T., Kunichika, H., et al. (2023) · Cancers · doi:10.3390/cancers15041238 · Cited by 12
“According to the latest update of the Barcelona Clinic Liver Cancer (BCLC) guidelines, trans-arterial chemoembolization (TACE) is still reserved and indicated as the first-line treatment for HCC patients at intermediate-stage (BCLC-B) who have well-defined nodules and can be treated by selective catheterization [1].”
BackgroundZhang, Z., Jiao, T., Li, J., Hu, B., Zhang, W., Wang, Z., Wan, T., Wang, Y., & Lu, S. (2023) · World Journal of Surgical Oncology · doi:10.1186/s12957-023-02939-5 · Cited by 12
Wang, Y., Dong, K., Wang, K., Sun, Y. L., & Xing, B. (2023) · Digestive and Liver Disease · doi:10.1016/j.dld.2023.03.008 · Cited by 11
Pan, Y., Zhu, X., Liu, J., Zhong, J., Zhang, W., Shen, S., Jin, R., Liu, H., Ye, F., Hu, K., et al. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1138355 · Cited by 12
Gao, Y., Yuan, Y., Shu, W., Chen, Y., Zhang, Z., Feng, Y., Jiang, B., Ma, S., Hu, R., Fang, C., et al. (2023) · Oncogenesis · doi:10.1038/s41389-023-00473-3 · Cited by 12
“Even with the development of advanced diagnostic and therapeutic strategies for HCC, the prognosis for patients with HCC remains poor owing to its complex and multifaceted molecular pathogenesis [2].”
BackgroundLiu, B., Gao, S., Guo, J., Kou, F., Liu, S., Zhang, X., Wang, X., Cao, G., Chen, H., Liu, P., et al. (2023) · Translational Oncology · doi:10.1016/j.tranon.2023.101705 · Cited by 12
Shao, M., Tao, Q., Xu, Y., Xu, Q. R., Shu, Y., Chen, Y., Shen, J., Zhou, Y., Wu, Z., Chen, M., et al. (2023) · Chinese Medical Journal · doi:10.1097/cm9.0000000000002380 · Cited by 14
Balducci, D., Montori, M., BLASIO, F. D., Bucchianico, A. D., Argenziano, M. E., Svegliati‐Baroni, G., & Scarpellini, E. (2023) · Medicina · doi:10.3390/medicina59061150 · Cited by 12
“Interestingly, the modified step-by-step approach may shorten the distance between BCLC-C and BCLC-D due to CSPH and may extend survival time of patients (from 3 months to 2 years) [11].”
BackgroundInfluentialChen, W., Ruan, M., Zou, M., Liu, F., & Liu, H. (2023) · Cancers · doi:10.3390/cancers15164187 · Cited by 12
“Meanwhile, extensively utilized in Asia, hepatic artery infusion chemotherapy has been incorporated into treatment guidelines in Japan and South Korea [131,132].”
BackgroundImaging prognostication and tumor biology in hepatocellular carcinoma
Kadi, D., Yamamoto, M., Lerner, E., Jiang, H., Fowler, K. J., & Bashir, M. R. (2023) · Journal of Liver Cancer · doi:10.17998/jlc.2023.08.29 · Cited by 12
Tada, T., Kumada, T., Hiraoka, A., Hirooka, M., Kariyama, K., Tani, J., Atsukawa, M., Takaguchi, K., Itobayashi, E., Fukunishi, S., et al. (2023) · Liver International · doi:10.1111/liv.15753 · Cited by 12
Wu, J., Wu, J., Liu, D.-Y., Li, H., Zhuang, S.-W., Li, B., Zhou, J., Huang, J., Zhang, Z., Li, S.-Q., et al. (2023) · Journal of Hepatocellular Carcinoma · doi:10.2147/jhc.s442341 · Cited by 12
Wu, D., Jia, B., Jia, M., Zhao, H., Zhao, H., & Zhou, J. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1274754 · Cited by 12
Gao, B., Yang, F., Zheng, D., Hu, S., Liu, J., Liu, H., Liu, Y., Liu, L., Wang, R., Zhao, Y., et al. (2023) · Journal of Hepatocellular Carcinoma · doi:10.2147/jhc.s443041 · Cited by 12
“2,3 TACE has been established worldwide as the standard local treatment for intermediate and advanced HCC, with an overall objective response rate (ORR) ranging from 30% to 40%.”
BackgroundBaloji, A., Kalra, N., Chaluvashetty, S. B., Bhujade, H., Chandel, K., Duseja, A. K., Taneja, S., Gorsi, U., Kumar, R., Singh, H., et al. (2023) · Journal of Clinical and Experimental Hepatology · doi:10.1016/j.jceh.2023.101342 · Cited by 12
Yan, Q., Li, D., Jia, S., Yang, J., & Ma, J. (2024) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2024.108688 · Cited by 13
Phytochemicals as Potential Lead Molecules against Hepatocellular Carcinoma
Rayginia, T. P., Keerthana, C. K., Shifana, S. C., Maria Joy, P., Ajmani, A., & Anto, R. J. (2024) · Current Medicinal Chemistry · doi:10.2174/0109298673275501231213063902 · Cited by 12
Ielasi, L., Stefanini, B., Conti, F., Tonnini, M., Tortora, R., Magini, G. M., Sacco, R., Pressiani, T., Trevisani, F., Foschi, F. G., et al. (2024) · Current Oncology · doi:10.3390/curroncol31010038 · Cited by 12
“In Western countries, the most used staging system is the Barcelona Clinic Liver Cancer (BCLC), which provides an estimation of prognosis and treatment of choice [2].”
BackgroundMethodInfluentialRomano, P., Busti, M., Billato, I., D’Amico, F., Marchegiani, G., Pelizzaro, F., Vitale, A., & Cillo, U. (2024) · BJS Open · doi:10.1093/bjsopen/zrad158 · Cited by 12
“For all these reasons, the correct expert recommendation for answering the initial PICO cannot be the exclusion of LR as a therapeutic option for these HCC patients, as done in the last BCLC paper 4 .”
BackgroundImmunotherapy and Radiation Therapy Combinatorial Approaches in Hepatocellular Carcinoma
Tojjari, A., Yu, J. B., & Saeed, A. (2024) · Cancers · doi:10.3390/cancers16051058 · Cited by 12
Chen, Q., Chen, S., Yi, J., Wang, J.-L., Zhong, S.-X., Jiang, X., Hu, Y. H., Tan, G.-J., Xu, J., Lyu, N., et al. (2024) · The American Journal of Gastroenterology · doi:10.14309/ajg.0000000000002774 · Cited by 12
Ohama, H., Hiraoka, A., Tada, T., Hirooka, M., Kariyama, K., Hatanaka, T., Tani, J., Takaguchi, K., Atsukawa, M., Itobayashi, E., et al. (2024) · Cancer Reports · doi:10.1002/cnr2.2042 · Cited by 12
“46,47 The items in the IMABALI-De scoring system, that is, tumor burden, malignant potential, and hepatic reserve function, provide a versatile system that may also be prognostically useful in Dur/Tre treatment cases.”
Criss, C. R., & Makary, M. S. (2024) · Current Oncology · doi:10.3390/curroncol31040154 · Cited by 12
“Much of the initial literature encompassing locoregional therapies has focused on the treatment of primary liver cancers and has since been established as one of the mainstay treatment approaches according to the Barcelona Clinic Liver Cancer guidelines for treating hepatocellular carcinoma [49,50].”
BackgroundDiagnostic performance of CT/MRI LI-RADS v2018 in non-cirrhotic steatotic liver disease
Cao, J. J., Shon, A., Yoon, L. S., Kamaya, A., & Tse, J. R. (2024) · European Radiology · doi:10.1007/s00330-024-10846-w · Cited by 12
Long-Term Outcomes of Balloon TACE for HCC: An European Multicentre Single-Arm Retrospective Study
Lucatelli, P., Rocco, B., beare, T. D., Verset, G., Fucilli, F., Damato, E., Paccapelo, A., Braccischi, L., Tomassoni, M. T., Bucalau, A., et al. (2024) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-024-03779-w · Cited by 12
“According to the Barcelona Clinic Liver Cancer (BCLC) 2022 update [1], transarterial chemoembolisation (TACE) is indicated for treating HCC in the intermediate stage and in the earlier stage when potentially curative options are not feasible.”
MethodBerman, Z. T., Pianka, K. T., Qaseem, Y., Redmond, J. W., & Minocha, J. (2024) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-024-03799-6 · Cited by 12
“With the reduction in resources needed for additional room availability to perform a MAA procedure, more patients are able to be treated, which is especially important now that TARE has been incorporated into the BCLC treatment guidelines and is therefore likely to be used more frequently [2].”
Kühnel, C., Köhler, A., Brachwitz, T., Seifert, P., Gühne, F., Aschenbach, R., Freudenberg, R., Freesmeyer, M. G., & Drescher, R. (2024) · Journal of Personalized Medicine · doi:10.3390/jpm14070747 · Cited by 12
“Since most HCC cases are diagnosed at a multifocal, non-metastatic stage (AJCC stage II/III, BCLC score A/B), TARE is often used as a first-line therapy [18].”
BackgroundLiver resection and transplantation in the era of checkpoint inhibitors
Tabrizian, P., Marino, R., & Chow, P. K. H. (2024) · JHEP Reports · doi:10.1016/j.jhepr.2024.101181 · Cited by 15
“2,15 Randomised trials are ongoing to explore the potential application of combining LRT with ICIs, as new hopes to enhance their ef fi cacy are based on the hypothesised synergistic effect of LRT and ICIs.”
Lu, F., Zhao, K., Ye, M.-Q., Xing, G., Liu, B., Li, X.-B., Ran, Y., Wu, F., Chen, W., & Hu, S.-P. (2024) · BMC Cancer · doi:10.1186/s12885-024-12780-y · Cited by 12
“Primary treatments for early-stage HCC include liver resection, transplantation, and radiofrequency ablation [3].”
BackgroundCampani, C., Pallas, D., Sidali, S., Γιουλεμέ, Ό., Blaise, L., Grando, V., Nkontchou, G., Demory, A., Nahon, P., Ganne‐Carrié, N., et al. (2024) · JHEP Reports · doi:10.1016/j.jhepr.2024.101190 · Cited by 12
A classification model for resectability in hepatocellular carcinoma patients
Nakamura, I., Yoh, T., Nishimura, T., Okuno, M., Okamoto, T., Sueoka, H., Iida, K., Tada, M., Ishii, T., Seo, S., et al. (2024) · Hepatology Research · doi:10.1111/hepr.14108 · Cited by 12
Persano, M., Gardini, A. C., Tada, T., Suda, G., Shimose, S., Kudo, M., Rossari, F., Yoo, C., Cheon, J., Finkelmeier, F., et al. (2024) · Oncology · doi:10.1159/000541018 · Cited by 12
Rich, N. E., Jones, P. D., Zhu, H., Prasad, T., Hughes, A. E., Pruitt, S. L., Murphy, C. C., Dahan, K. S. E., Daher, D., Figueroa, G., et al. (2024) · Hepatology Communications · doi:10.1097/hc9.0000000000000477 · Cited by 12
“[16] Because BCLC stage A patients with large unifocal tumors are often not amenable to curative treatment, we also conducted a sensitivity analysis using Milan Criteria to define early-stage HCC. Univariable and multivariable logistic regression defined factors associated with early-stage HCC…”
MethodSelf-citationYttrium-90 radioembolization treatment strategies for management of hepatocellular carcinoma
Hao, K., Paik, A. J., Han, L. H., & Makary, M. S. (2024) · World Journal of Radiology · doi:10.4329/wjr.v16.i10.512 · Cited by 12
Jeong, B., Heo, S., Lee, S. S., Kim, S., Shin, Y. M., Kim, K. M., Ha, T., & Jung, D. (2024) · European Radiology · doi:10.1007/s00330-024-11173-w · Cited by 12
Magyar, C. T. J., Perera, S., Rajendran, L., Li, Z., Almugbel, F. A., Feng, S., Choi, W. J., Aceituno, L., Vogel, A., Grant, R. C., et al. (2024) · Transplantation · doi:10.1097/tp.0000000000005240 · Cited by 12
Self-citationHepatocellular carcinoma systemic treatment update: From early to advanced stage
Teng, W., Wu, T.-C., & Lin, S. (2024) · Biomedical Journal · doi:10.1016/j.bj.2024.100815 · Cited by 14
Deng, M., Zhao, R., Zou, H., Guan, R., Wang, J., Lee, C. M., He, B., Zhou, J., Li, S., Wei, W., et al. (2025) · British Journal of Cancer · doi:10.1038/s41416-024-02908-z · Cited by 12
“Clinical survival has improved in patients with HCC treated with tyrosine kinase inhibitors and immune checkpoint inhibitors [4 – 6].”
Fazlollahi, F., & Makary, M. S. (2025) · World Journal of Radiology · doi:10.4329/wjr.v17.i1.98618 · Cited by 12
Lee, S., Yang, S., Tsai, P., Huang, C., Chen, C.-Y., Hung, C., Chen, C.-H., Tai, C., Cheng, P., Kuo, H., et al. (2025) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2024.1015 · Cited by 12
Akabane, M., Kawashima, J., Altaf, A., Woldesenbet, S., Cauchy, F., Aucejo, F., Popescu, I., Kitago, M., Martel, G., Ratti, F., et al. (2025) · Annals of Surgery Open · doi:10.1097/as9.0000000000000557 · Cited by 12
“13,14 Although some treatment guidelines have updated recommendations for systemic therapy, 2,15,16 there is still no clear consensus on the role of surgery in the multidisciplinary treatment of advanced HCC.”
Kodama, Y., Ueshima, K., Moriguchi, M., Inaba, Y., Yamashita, T., Iwamoto, H., Ueno, M., Ogasawara, S., Kuzuya, T., Kodama, T., et al. (2025) · BMC Cancer · doi:10.1186/s12885-025-13648-5 · Cited by 12
Characteristics and Survival Outcomes of Hepatocellular Carcinoma After the Fontan Operation
Rosenthal, B. E., Hoteit, M. A., Lluri, G., Haeffele, C. L., Daugherty, T. J., Krasuski, R. A., Serfas, J. D., de Freitas, R. A., Porlier, A., Lubert, A. M., et al. (2025) · JACC Advances · doi:10.1016/j.jacadv.2025.101646 · Cited by 12
Sutanto, H., Adytia, G. J., Elisa, E., & Maimunah, U. (2025) · Cancer Pathogenesis and Therapy · doi:10.1016/j.cpt.2025.04.004 · Cited by 12
“3,9 Locoregional therapies, such as transarterial chemoembolization (TACE), are cornerstone treatments for HCC, particularly for intermediate-stagediseaseasde fi nedbytheBarcelonaClinicLiverCancer (BCLC) staging system [Table 1; Figure.”
Ling, S., Yu, J.-J., Zhan, Q., Gao, M., Liu, P., Wu, Y., Zhang, L., Shan, Q., Liu, H., Wang, J., et al. (2025) · Nature Communications · doi:10.1038/s41467-025-59745-8 · Cited by 12
Sher, A., Todd, R., Shilo, D., Garcia-Reyes, K., Bishay, V. L., Patel, R. I., Patel, R. S., Fischman, A. M., Nowakowski, F., Lookstein, R., et al. (2025) · Journal of Vascular and Interventional Radiology · doi:10.1016/j.jvir.2025.05.009 · Cited by 12
Mu, M.-Y., Chen, Z.-X., Cao, Y.-Z., Fu, X., Qiu, L.-J., Qi, H., & Gao, F. (2025) · Cancer Letters · doi:10.1016/j.canlet.2025.217851 · Cited by 14
Maas, L., Contreras-Meca, C., Ghezzo, S., Belmans, F., Corsi, A., Cant, J., Vos, W. G., Bobowicz, M., Rygusik, M., Łaski, D., et al. (2025) · Journal of Medical Economics · doi:10.1080/13696998.2025.2525006 · Cited by 12
“Once diagnosed with HCC, care was based on the Barcelona Clinic Liver Cancer (BCLC) staging sys-tem 17 that classifies HCC based on tumor characteristics and liver function.”
Self-citationThe unwell patient with advanced chronic liver disease: when to use each score?
Moore, O., Ma, W., Read, S. A., George, J., & Ahlenstiel, G. (2025) · BMC Medicine · doi:10.1186/s12916-025-04185-w · Cited by 12
“Integration of the CPS, as a measure of compensation status of ACLD, helps refine the Barcelona Clinic Liver Cancer (BCLC) strategy for treatment selection in HCC[15].”
InfluentialFerronato, M., Lalanne, C., Quarneti, C., Cevolani, M., Ricci, C., Granito, A., Muratori, L., & Lenzi, M. (2022) · Journal of Clinical and Translational Hepatology · doi:10.14218/jcth.2021.00573 · Cited by 12
Mesoporous Nanoparticles for Diagnosis and Treatment of Liver Cancer in the Era of Precise Medicine
Wu, H., Wang, M.-D., Zhu, J., Li, Z., Wang, W., Gu, L., Shen, F., & Yang, T. (2022) · Pharmaceutics · doi:10.3390/pharmaceutics14091760 · Cited by 12
Komatsu, S., Ueshima, K., Kido, M., Kuramitsu, K., Tsugawa, D., Yanagimoto, H., Toyama, H., Ku, Y., Kudo, M., & Fukumoto, T. (2022) · Journal of Hepato-Biliary-Pancreatic Sciences · doi:10.1002/jhbp.1236 · Cited by 12
Lu, G., Du, R., Feng, B., Wang, J., Zhang, F., Pei, J., Wang, Y., & Shang, Y. (2022) · Journal of Inflammation Research · doi:10.2147/jir.s390113 · Cited by 11
Hepatocellular Carcinoma: Current Therapeutic Algorithm for Localized and Advanced Disease
Jose, A., Bavetta, M. G., Martinelli, E., Bronte, F., Giunta, E. F., & Manu, K. A. (2022) · Journal of Oncology · doi:10.1155/2022/3817724 · Cited by 12
“In these, atezolizumab/ bevacizumab or durvalumab/tremelimumab (sorafenib, lenvatinib or durvalumab if unavailable) indicate as frst-line treatment; second-line treatment with regorafenib or cabozantinib, ramucirumab (after treatment with sorafenib); a third line is represented by cabozantinib [103].”
BackgroundInfluentialPeng, S.-W., Ngo, M.-H. T., Kuo, Y., Teng, M.-H., Guo, C., Lai, H.-C., Chang, T., & Huang, Y. (2023) · Cancers · doi:10.3390/cancers15030931 · Cited by 13
“For advanced-stage HCC for which curative local therapies are infeasible, systemic pharmacological therapy is the mainstay of treatment [4].”
BackgroundGomes, F. V., de Baère, T., Verset, G., Coimbra, É., Felice, G. A. T., Malagari, K. S., & Bruix, J. (2023) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-023-03362-9 · Cited by 12
“with our results, the expected OS in patients in the BCLC B stage was increasing in the last years and may now exceed 30 months [2].”
BackgroundResultSelf-citationYang, X., Deng, H., Sun, Y.-Y., Zhang, Y., Lu, Y., Xu, G., & Huang, X. (2023) · Journal of Hepatocellular Carcinoma · doi:10.2147/jhc.s399135 · Cited by 12
“Hepatocellular carcinoma (HCC) is the sixth most common type of cancer and the third leading cause of cancer-related deaths worldwide.1 Surgical resection and liver transplantation are potential radical treatments for HCC.”
BackgroundInfluentialKoza, A., Bhogal, R. H., Fotiadis, N., & Mavroeidis, V. K. (2023) · Biomedicines · doi:10.3390/biomedicines11041062 · Cited by 12
“In patients with nodules not amenable to ablation due to the associated risk of adjacent organ damage or unsuitable location of the nodule, laparoscopic/robotic resection has provided an option where feasible, being less invasive and, thus, more suitable in patients who would otherwise be suboptimal candidates for an…”
BackgroundMethodInfluentialFeng, L.-H., Zhu, Y.-Y., Zhou, J., Wang, M., Xu, W., Zhang, T., Mao, A., Cong, W., Dong, H. F., & Wang, L. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1104492 · Cited by 12
“02 or macrovascular invasions or satellites; (3) patients with extrahepatic metastasis; (4) a previous history of treatment of malignancy; (5) recurrence before or at adjuvant TACE; (6) perioperative mortality; and (6) incomplete data.”
BackgroundCell-Free DNA as a Surveillance Tool for Hepatocellular Carcinoma Patients after Liver Transplant
Manzi, J. L. L., Hoff, C. O., Ferreira, R., Glehn-Ponsirenas, R., Selvaggi, G., Tekin, A., O’Brien, C., Feun, L. G., Vianna, R., & Abreu, P. (2023) · Cancers · doi:10.3390/cancers15123165 · Cited by 13
“Patients classified as B may also be referred to transplantation when using “extended liver-transplant criteria” according to the institution’s criteria, usually related to minor increases in the number or size of the tumors [14,17–19], but are more commonly directed towards other treatments, such as transarterial che…”
MethodSun, Y., Xiong, Y., Wang, Q., Qiao, W., Zhang, H., & Zhang, Y. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1206345 · Cited by 12
Chan, K. S., Tay, W. X., Cheo, F. Y., & Shelat, V. G. (2023) · Acta chirurgica Belgica · doi:10.1080/00015458.2023.2256539 · Cited by 12
“The updated BCLC 2022 classification system recommends TACE as first-line potentially curative treatment for BCLC-B HCC with preserved portal flow [5,34,35].”
MethodLncRNA SLC1A5-AS/MZF1/ASCT2 Axis Contributes to Malignant Progression of Hepatocellular Carcinoma
Jiang, J., Dong, W., Zhang, W., Wang, Q., Wang, R., Wang, J., Wu, H., Dong, H., Zhao, R. C., Wang, J., et al. (2023) · Discovery Medicine · doi:10.24976/discov.med.202335179.96 · Cited by 12
Abdelmalak, J., Strasser, S. I., Ngu, N. L. Y., Dennis, C. V., Sinclair, M. J., Majumdar, A., Collins, K., Bateman, K., Dev, A. T., Abasszade, J. H., et al. (2023) · Cancers · doi:10.3390/cancers15245741 · Cited by 12
Wagle, N. S., Park, S., Washburn, D. J., Ohsfeldt, R. L., Kum, H., & Singal, A. G. (2024) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-23-1236 · Cited by 12
Self-citationCopil, F., Campani, C., Lequoy, M., Sultanik, P., Blaise, L., Wagner, M., Ganne‐Carrié, N., Ozenne, V., Thabut, D., Nault, J., et al. (2024) · Liver International · doi:10.1111/liv.15833 · Cited by 12
Yang, C., Yang, H., Luo, Y., Li, F., Cong, T., Li, Y., Ye, F., & Li, X. (2024) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-024-03730-z · Cited by 12
“Meanwhile, the BCLC strategy recommends that treatment of HCC patients should be converted to systemic therapy (targeted therapy combined with immunotherapy) after TACE resistance [1]; however, the concept of TACE resistance is still controversial [6–8].”
InfluentialSekiguchi, S., Tsuchiya, K., Yasui, Y., Inada, K., Kirino, S., Yamashita, K., Hayakawa, Y., Osawa, L., Higuchi, M., Takaura, K., et al. (2022) · Cancer Reports · doi:10.1002/cnr2.1613 · Cited by 12
Immunotherapy and Hepatocellular Cancer: Where Are We Now?
Valéry, M., Cervantes, B., Samaha, R., Gelli, M., Smolenschi, C., Fuerea, A. C., Tselikas, L., Prieux‐Klotz, C., Hollebecque, A., Boige, V., et al. (2022) · Cancers · doi:10.3390/cancers14184523 · Cited by 13
Lv, X., Zhang, P., Zhang, E., & Yang, S. (2025) · World Journal of Surgical Oncology · doi:10.1186/s12957-025-03765-7 · Cited by 11
“Locoregional therapy, targeted therapy, and immunotherapy have emerged as the primary treatments for advanced HCC [3].”
Jin, J., Cheng, K., Chen, M., Liang, H., & Zhang, W. (2025) · International Journal of Biological Sciences · doi:10.7150/ijbs.117394 · Cited by 13
Recent Advances in Ablative Therapies for Hepatocellular Carcinoma
Zahra, S. A., Nadeem, A., Kundu, A., Gibson, N., Haggaz, A., Sato, K. T., Lewandowski, R. J., & Gordon, A. C. (2025) · Cancers · doi:10.3390/cancers17193251 · Cited by 11
“In contrast to TARE, EBRT is not currently included in the 2022 BCLC guidelines as a standard treatment option [103].”
Impact of LEAP-012 and EMERALD-1 in the management of HCC
Singal, A. G., Garcia-Reyes, K., Kelley, R. K., & Kim, E. (2025) · JHEP Reports · doi:10.1016/j.jhepr.2025.101664 · Cited by 11
“Approximately 25% of patients had BCLC stage A HCC, 55-60% BCLC stage B HCC, and � 15% BCLC stage C HCC. Similarly, approximately 30% of patients in each arm had a HAP (hepatoma arterial-embolisation prognostic) score of A, � 35% had a score of B, 20-25% a score of C, and � 10% a score of D.”
InfluentialSelf-citationXia, F., Huang, Z., Zhang, Q., Ndhlovu, E., Chen, X., Zhang, B., & Zhu, P. (2022) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2022.11.005 · Cited by 11
Ramdhani, K., Smits, M. L. J., Lam, M. G. E. H., & Braat, A. J. A. T. (2023) · Cancer Biotherapy and Radiopharmaceuticals · doi:10.1089/cbr.2022.0071 · Cited by 11
“7,8 With mCRC, the current guidelines only consider SIRT as a possible treatment with patients failing the available chemotherapeutic agents.”
Kee, K., Chen, C., Hu, J., Huang, Y., Wang, T.-E., Chau, G., Chen, K.-H., Chen, Y., Lin, C., Hung, C., et al. (2022) · Viruses · doi:10.3390/v15010126 · Cited by 11
“The expected median survival year of the current BCLC treatment guidelines in 2022 is higher than in BCLC stages C and D [41].”
Understanding the Drawbacks of the Current Tumor Staging Systems: How to Improve?
Giacomelli, L., Sacco, R., Papa, S., & Carr, B. I. (2023) · Cancers · doi:10.3390/cancers15041242 · Cited by 11
BCL11B expression in hepatocellular carcinoma relates to chemosensitivity and clinical prognosis
Abé, H., Kamimura, K., Okuda, S., Watanabe, Y., Inoue, J., Aoyagi, Y., Wakai, T., Kominami, R., & Terai, S. (2023) · Cancer Medicine · doi:10.1002/cam4.6167 · Cited by 11
Metadata
- Authors
- Reig, M., Forner, A., Rimola, J., Ferrer-Fàbrega, J., Burrel, M., Garcia-Criado, Á., Kelley, R. K., Galle, P. R., Mazzaferro, V., Salem, R., Sangro, B., Singal, A. G., Vogel, A., Fuster, J., Ayuso, C., & Bruix, J.
- Affiliations
- Hospital Clínic de Barcelona (ES)
- University of California, San Francisco (US)
- University Medical Center of the Johannes Gutenberg University Mainz (DE)
- University of Milan (IT)
- Northwestern University (US)
- Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (ES)
- The University of Texas Southwestern Medical Center (US)
- Medizinische Hochschule Hannover (DE)
- Corresponding author
- Bruix, Jordi
- ORCID
- Venue
- Journal of Hepatology
- Publisher
- Elsevier BV
- Published
- 2022-03
- Volume
- 76
- Issue
- 3
- Pages
- 681-693
- ISSN
- 0168-8278 (ISSN-L)
- PMC
- PMC8866082
- OpenAlex
- W3213277274
- Cited by
- 4,319
- References
- 136
- Citations by year
- 2026: 684 · 2025: 1071 · 2024: 1166 · 2023: 962 · 2022: 424
- FWCI
- 83.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Hepatology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Fundación Científica de la Asociación Española Contra el Cáncer (PI044031)
- National Institutes of Health (R01 R01 MD012565, PI18/00768)
- Horizon 2020 Framework Programme (952103)
- Instituto de Salud Carlos III (AC16/00065, PI18/0358, PI15/00145, PI18/00542, PI19/00742, PI18/00768)
- European Association for the Study of the Liver
- Horizon 2020
- Topics
- Health Sciences › Medicine › Hepatology › Hepatocellular Carcinoma Treatment and Prognosis
- Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
- Health Sciences › Medicine › Oncology › Renal cell carcinoma treatment
- Keywords
- hepatocellular carcinoma, Barcelona Clinic Liver Cancer staging, outcome prediction, treatment guidelines, evidence-based clinical decision-making
- MeSH terms
- Female, Carcinoma, Hepatocellular, Humans, Liver Neoplasms, Male, Middle Aged, Neoplasm Staging, Prognosis, Severity of Illness Index
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