title: Management of "very early" hepatocellular carcinoma on cirrhotic patients.
abstract: Due to the advances in screening of cirrhotic patients, hepatocellular carcinoma (HCC) is being diagnosed in earlier stages. For this reason the number of patients diagnosed of very early HCC (single tumors ≤ 2 cm) is continuously increasing. Once a patient has been diagnosed with this condition, treatment strategies include liver resection, local therapies or liver transplantation. The decision on which therapy should the patient undergo depends on the general patients performance status and liver disease. Anyway, even in patients with similar conditions, the best treatment offer is debatable. In this review we analyze the state of the art on the management of very early HCC on cirrhotic patients to address the best treatment strategy for this patient population.
authors.affiliation: Gonzalo Sapisochin, Elena Fernandez de Sevilla, Juan Echeverri, Ramón Charco, Department of HPB Surgery and Transplantation, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, 08035 Barcelona, Spain.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Sapisochin
authors.affiliation: Gonzalo Sapisochin, Elena Fernandez de Sevilla, Juan Echeverri, Ramón Charco, Department of HPB Surgery and Transplantation, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, 08035 Barcelona, Spain.
authors.forename: Elena Fernandez
authors.initials: EF
authors.lastname: de Sevilla
authors.affiliation: Gonzalo Sapisochin, Elena Fernandez de Sevilla, Juan Echeverri, Ramón Charco, Department of HPB Surgery and Transplantation, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, 08035 Barcelona, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Echeverri
authors.affiliation: Gonzalo Sapisochin, Elena Fernandez de Sevilla, Juan Echeverri, Ramón Charco, Department of HPB Surgery and Transplantation, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, 08035 Barcelona, Spain.
authors.forename: Ramón
authors.initials: R
authors.lastname: Charco
keywords: Hepatocellular carcinoma; Liver resection; Liver transplantation; Local therapies; Very early