Review Article

Alpha-Fetoprotein and Novel Tumor Biomarkers as Predictors of Hepatocellular Carcinoma Recurrence after Surgery: A Brilliant Star Raises Again

Table 1

Various proposed criteria for the selection of HCC patients waiting for liver transplantation.

Author (year), abbreviationCriteria

Only radiological criteria

Mazzaferro [52], Milan1 HCC ≤5 cm or ≤3 HCC ≤3 cm
Yao [53], UCSF1 HCC ≤6.5 cm or ≤3 HCC ≤4.5 cm with TTD ≤8 cm
Herrero [54], CUN1 HCC ≤6 cm or ≤3 HCC ≤5 cm
Onaca [55], Dallas1 HCC ≤6 cm or ≤4 HCC ≤5 cm
Sugawara [56], Tokyo≤5 HCC ≤5 cm
Lee [57], Asan≤6 HCC ≤5 cm
Silva [58], Valencia≤3 HCC ≤5 cm with TTD ≤10 cm
Toso [59], TTVTTV ≤115 cm3
Mazzaferro [60], Up-to-sevenNumber + maximum size of HCC = 7
Fan [61], Shanghai1 HCC ≤9 cm or ≤3 HCC ≤5 cm with TTD ≤9 cm

Criteria needing preoperative biopsy

Cillo [62], PaduaTumor grading I or II
Zheng [63], HangzhouTTD ≤8 cm or HCC grading I or II and AFP ≤400 ng/mL

Combined radiological and biological criteria

Kwon [64], SeoulHCC ≤5 cm (no number restriction) and AFP ≤400 ng/mL
Takada , Ito [65, 66], Kyoto≤10 HCC ≤5 cm and DCP ≤400 mAU/mL
Toso et al. [33], TTV/AFPTTV ≤115 cm3 and AFP ≤400 ng/mL
Lai et al. [67], TTD/AFPTTD ≤8 cm and AFP ≤400 ng/mL

HCC: hepatocellular carcinoma; TTD: total tumor diameter; TTV: total tumor volume; AFP: alpha foetoprotein; DCP: des-γ-carboxy prothrombin.