Hepatocellular Carcinoma Staging Form

Tumor Location

Number

Location

Tumor Size

cm

Please enter a number.

Non-measurable

Or, check Non-measurable.

Tumor Characteristics and Associated Liver Features

Ascites

Splenomegaly

Cirrhosis

Fatty liver

Typical enhancement pattern (hypervascular enhancement and early wash-out)

Portosystemic collateral vessels

Portal vein thrombosis

Location

Hepatic vein invasion

Location

Perforation of visceral peritoneum

Invasion of adjacent organs

Location

Regional Lymph Node

Locations

Hepatic hilum

Hepatoduodenal ligament

Inferior phrenic

Caval

Others

Distant Metastasis

Adrenal

Lung

Bone

Others

Scanning Protocol