Diagnosis and Management of HCC

Can the HCC diagnosis already be established based on the data above and do we need liver biopsy for establishing the Diagnosis?

• HCC Confirmed, No need for liver biopsy

• HCC is not confirmed, Liver Biopsy must be done for every HCC suspected case

In your opinion, which of the following imaging methods is the most specific for diagnosing HCC?

• Multiphase Contrast Enhanced Abdominal CT scan

• Liver MRI with non-hepato Specific Contrast

• Liver MRI with SPECIFIC Contrast

• Ultrasound

• Endoscopic Ultrasound

What is the best next management for this case?

• Microwave ablation

• Tumor Resection

• TARE

• TACE

• Liver Transplant

After the First TACE, What is the best next step for management?

• Do TACE for the second cycle and observe the for the result

• Liver Transplant

• Tumor Resection

• Microwave ablation

• TARE

Do we need to give anticoagulant in HCC patient with Portal Vein Thrombus?

• Yes

• No

Is a liver biopsy necessary, and can the result provide information that would alter the treatment approach? (the role of Next Generation Sequencing/NGS)

• No role of NGS in HCC management

• NGS may add information for further management