Liver transplantation for hepatocellular carcinoma: Historical evolution of transplantation criteria

doi:10.12998/wjcc.v10.i29.10413

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Oct 16, 2022; 10(29): 10413-10427
Published online Oct 16, 2022. doi: 10.12998/wjcc.v10.i29.10413

Table 1 Features of liver transplant criteria for hepatocellular carcinoma and survival rates

Criteria	Single Tm LTD in cm	Multiple Tm as NN	Multiple Tm LTD in cm	TTD in cm	AFP in ng/mL	PIVKA II	Differ.	MiVi	LTD + NN	TTV in cm³	GGT in IU/L	5-yr DFS criteria in, %	5-yr OS criteria, %	5-yr recurrence criteria, %
Paul-Brousse	3	1-2	3	-	-	-	-	-	-	-	-	83	83	-
Milan	≤ 5	2-3	≤ 3	-	-	-	-	-	-	-	-	82 (4 yr)	85 (4 yr)	8
UCSF	≤ 6.5	2-3	≤ 4.5	≤ 8	-	-	-	-	-	-	-	-	75.2
BCLC	≤ 7	2-34-5	≤ 5≤ 7	-	-	-	-	-	-	-	-	-	80.2	23.8
Extended criteria	≤ 7.5	2-3	≤ 5	-	-	-	(> 5 cm with poor diff also excluded)	-	-	-		76.8 (4 yr)	82.9 (4 yr)	-
Berlin	≤ 6	No limit	≤ 6	≤ 15	-	-	-	-	-	-	-	64 (3 yr)	68 (3 yr)	-
Kyoto	≤ 5	2-10	≤ 5	-	-	≤ 400	-	-	-	-	-	-	86.7	4.9
Tokyo	≤ 5	2-5	≤ 5	-	-	-	-	-	-	-	-	94 (3 yr)	75	-
Onaca	≤ 6	2-4	≤ 5	-	-	-	-	-	-	-	-	64.6	-	-
Hangzhou	≤ 8	-	-	≤ 8	-	-	-	-	-	-	-	70.7	62.4	-
Hangzhou	> 8	-	-	> 8	≤ 400	-	Well/Moder	-	-	-	-	70.7	62.4	-
Asan	≤ 5	2-6	≤ 5	-	-	-	-	-	-	-	-	-	76.3	13.6 (3 yr)
CUN	≤ 6	2-3	≤ 5	-	-	-	-	-	-	-	-	-	73	-
Valencia	≤ 5	2-3	≤ 5	≤ 10	-	-	-	-	-	-	-	-	67	9
Shangai	≤ 9	2-3	≤ 5	≤ 9	-	-	-	-	-	-	-	52.6	78.1	10.7
Kyushu	≤ 5	No limit	≤ 5	-	-	≤ 300	-	-	-	-	-	87	82.7	-
UpToSeven	≤ 6	-	-	-	-	-	-	Neg.	≤ 7	-	-	-	71.2	39.9
TTV/AFP²⁸	-	-	-	-	≤ 400	-	-	-	-	≤ 115	-	-	Approximately 60 (4 yr)	-
Ext Toronto	No limit	No limit	No limit	-	-	-	Well/Moder	-	-	-	-	-	68	25.6
AFP-TTD	≤ 8	-	-	≤ 8	≤ 400	-	-	-	-	-	-	74.4	-	4.9
Samsung	≤ 6	2-7	≤ 6	-	≤ 1000	-	-	-	-	-	-	89.6	-	-
5-5-500	≤ 5	2-5	≤ 5	-	≤ 500	-	-	-	-	-	-	73.2	75.8	7.3
Malatya	≤ 6	No limit	≤ 6	-	≤ 200	-	Well/Moder	-	-	-	≤ 104	-	79.7	-
Exp Malatya	≤ 10	No limit	≤ 10	-	≤ 200	-	-	-	-	-	≤ 104	-	77.6	-

AFP: Alpha fetoprotein; BCLC: Barcelona Clinic Liver Cancer; CUN: Clinica Universitaria de Navarra criteria; DFS: Disease-free survival; Differ: Differentiation; GGT: Gamma glutamyl transferase; LTD: Largest tumor diameter; MiVi: Microvascular invasion; Moder: Moderate; NN: Number of nodules; OS: Overall survival; PIVKA II: Protein induced vitamin K antagonist II; Tm: Tumor; TTD: Total tumor diameter; TTV: Total tumor volume; UCSF: University of California San Francisco criteria.

Citation: Ince V, Sahin TT, Akbulut S, Yilmaz S. Liver transplantation for hepatocellular carcinoma: Historical evolution of transplantation criteria. World J Clin Cases 2022; 10(29): 10413-10427
URL: https://www.wjgnet.com/2307-8960/full/v10/i29/10413.htm
DOI: https://dx.doi.org/10.12998/wjcc.v10.i29.10413