SURGERY

• ABDOMINAL CT SCAN
• Determines the resectability of the lesion

• COMPLETE SURGICAL RESECTION OF THE TUMOR

• Primary goal and essential for cure
UNRESECTABLE TUMORS
• PREOPERATIVE CHEMOTHERAPY
• Should be administered to reduce the size of the tumor and improve the
possibility for complete removal
• more successful for hepatoblastoma than for hepatocellular carcinoma.

• LIVER TRANSPLANTATION
• May be offered in some patients
• The FIBROLAMELLAR variant of Hepatocellular CA may have a better
outcome with liver transplantation than other hepatocellular carcinomas
• Areas of locally invasive disease, such as the diaphragm, should be
resected at the time of surgery