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  • Introduction to liver disease management
  • Module 1: Hepatocellular carcinoma (HCC)
  • Module 2: Hepatic metastases
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Introduction to liver disease management

1. Multidisciplinary team care: best practice in liver disease management

1.1 Context

  • Multidisciplinary team (MDT) care — including contributions from oncologists, hepatologists, gastroenterologists, surgeons, and diagnostic/interventional radiologists — represents best practice in the diagnosis and management of liver disease. Multidisciplinary discussion is recommended to develop individualized patient-tailored approaches to management, resulting in increased survival.

  • American Association for the Study of Liver Diseases (AASLD):

    “HCC patients should be seen in these [multidisciplinary] clinics whenever it is feasible, and, if not, a referral to a center with a true multidisciplinary clinic should be considered.”

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    • 1
      Marrero JA, Kulik LM, Sirlin CB, et al. Diagnosis, Staging, and Management of Hepatocellular Carcinoma: 2018 Practice Guidance by the American Association for the Study of Liver Diseases. Hepatology. 2018;68(2):723-750.
    • 2
      Adam R, de Gramont A, Figueras J, et al. Managing synchronous liver metastases from colorectal cancer: a multidisciplinary international consensus. Cancer Treat Rev. 2015;41(9):729-741.