Marcus-Alexander Wörns, Peter Robert Galle  Journal of Hepatology 

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Reply to: “Performance status in patients with HCC: New kid on the block”  Marcus-Alexander Wörns, Peter Robert Galle  Journal of Hepatology  Volume 67, Issue 6, Pages 1353-1355 (December 2017) DOI: 10.1016/j.jhep.2017.07.029 Copyright © 2017 European Association for the Study of the Liver Terms and Conditions

Fig. 1 Staging and treatment according to the Barcelona Clinic Liver Cancer (BCLC) system. *Note that Child-Pugh classification is not sensitive enough to accurately identify those patients with advanced liver failure that would deserve liver transplant consideration. **Patients with end stage cirrhosis due to heavily impaired liver function (Child-Pugh C or earlier stages with predictors of poor prognosis, high MELD score) should be considered for liver transplantation. In these patients, HCC may become a contraindication if exceeding the enlistment criteria. Adapted from.4 Journal of Hepatology 2017 67, 1353-1355DOI: (10.1016/j.jhep.2017.07.029) Copyright © 2017 European Association for the Study of the Liver Terms and Conditions