Predicting survival in early hepatocellular carcinoma

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Abstract
Over the past decade, non-surgical therapies for hepatocellular carcinoma (HCC) occurring on a background of cirrhosis have been established as effective. Hepatic arterial chemoembolisation has a proven survival advantage in selected patient groups,1, 2 and there is now strong evidence that ablative therapies, both percutaneous alcohol injection3 and radiofrequency ablation,4 have survival benefit. In addition, HCC incidence is increasing in the Western world, mainly due to the hepatitis C epidemic and this cancer now has an increasing impact on health services.