Managing High-Risk BCLC-C HCC in a Younger Fit Patient
ByRachna T. Shroff, MD, MS, FASCO,James J. Harding, MD,Lipika Goyal, MD,Midhun Malla, MD,Ronan W. Hsieh, MD,Zahra Hamedi, MD,Jun Gong, MD In the second clinical scenario of this Cancer Network Face Off on advanced hepatocellular carcinoma (HCC), Team Chicago Hot Dog manages a 54-year-old man with NASH-related cirrhosis and BCLC stage C disease, excellent performance status, bulky bilobar disease with a 9.2-cm dominant lesion, Vp3 invasion, two lung metastases, Child-Pugh A5, ALBI grade 1, no varices on recent endoscopy, and a rapidly rising alpha-fetoprotein level.