Hepatocellular (Hepatoma) cancer staging

Stage I T1 N0 M0

Stage II T2 N0 M0

Stage IIIA T3 N0 M0

Stage IIIB T4 N1 M0

Stage IV Any T Any N M1

Primary Tumor:

TX primary tumor cannot be assessed

T0 No evidence of primary tumor

T1 Solitary tumor without vascular invasion

T2 Solitary tumor with vascular invasion or multiple tumors none more than 5 cm

T3 Multiple tumors more than 5 cm or tumor involving a major branch of the portal or hepatic veins.

T4 tumors with direct invasion of adjacent organs other than the gallbladder or with perforation of visceral peritoneum

Regional lymph nodes:

NX Regional lymph nodes cannot be assessed

N0 No regional lymph node metastases

N1 Regional lymph node metastases

Distant metastases:

MX Distant metastases cannot be assessed

M0 No distant metastases

M1 Distant metastases

Barcelona Clinic Liver Cancer staging system:

stage 0-very early disease

Stage A-early stage

Stage B-intermediate stage

Stage C-advanced stage

Stage D-terminal stage

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