Imaging Report Form for Hepatocellular Carcinoma (AJCC8 版)
Following image staging due to
Tissue proof of HCC
Image highly suspicion of HCC
1. Imaging Modality
Imaging by
CT scan
MRI
Imaging Protocol:
2. Tumor location / Size
Number: (1,2,3 or multiple)
Location: (segment or lobe)
Size:
Measurable:
(the largest tumor)
Non-measurable
3. Tumor Characteristics and Associated Liver Features
Ascites
Splenomegaly
Cirrhosis
Fatty liver
Portal vein thrombosis, location:
Typical enhancement pattern (hypervascular enhancement and early wash-out)
Portosystemic collateral vessels
The BCLC Staging Classification
Tumor Characteristics
Single tumor, <5 cm
≤3 tumors, and all <3cm
Large multinodular
Vascular invasion, location:
Extrahepatic spread
AJCC (American Joint Committee on Cancer) TNM Staging System
T status:
T1a: Solitary tumor ≤ 2 cm
T1b: Solitary tumor >2cm without vascular invasion
T2: Solitary tumor >2cm with vascular invasion or multiple tumors, none > 5 cm
T3: Multiple tumors , at least one of which is >5 cm
T4: Tumor(s) involving a major branch of the portal or hepatic vein
T4: Tumor(s) with direct invasion of adjacent organs other than the gallbladder or with perforation of visceral peritoneum
4. Regional nodal metastasis
No or Equivocal
Yes, if yes, location (specified as below):
Hepatic hilum
Hepatoduodenal ligament
Inferior phrenic
Caval
Others:
5. Distant metastasis (In this study)
No or Equivocal
Yes, location:
6. Other findings: