Friday 16 March 2012

Hepatocellular carcinoma, Barcelona clinic

I summarize like this

<2 cm: resection
2-5 cm and no med illness: transplant
3 nodule < 3 cm: transplant
If with comorbid, low performance status: PEI, RFA
multinodular: TACE
portal vein involved/ N1, M1: new agents
Advanced: TLC (tender loving care)

King's college hospital criteria for liver failure

Branchial arch

This is a very difficult topic
Pure memory and little bit of correlation
Everytime before exam, this topic surely make me vomit