Treatment
There are plenty of treatment options that have been developing over the years with the constant introduction of new modifications and using of less invasive methods to achieve better results in some cases even reaching total cure. All of that is definitely dependent on the stage of the disease and the condition of the liver and the general health of the patient at diagnosis.
Curative options
1. Surgical resection:
It is the best option for cure in a very early diagnosed tumor that is respectable with enough margins to leave behind a good amount of liver tissue capable of taking over the functions of the liver in the body without compromising the state of the patient any further; so it is best used in cirrhotic patients with Child Pugh class A or non-cirrhotics, as they would have some residual functioning capacity but it is associated a high recurrence rate.
In order to choose the right candidates doctors use what is known as a MELD score (Model for End-stage Liver Disease) using creatinine, bilirubin, PT, and INR to assess the condition of the patient because there is no regenerative capacity in patients with poor coagulation status, portal hypertension, varices, or ascites.
