GI ToolsGastroenterology and hepatology

BCLC staging

The Barcelona Clinic Liver Cancer (BCLC) system links tumour burden, liver function and performance status to prognosis and first-line treatment. The 2022 update adds clinical decision-making beyond the stage.

ECOG performance status
Liver function
Tumour
Liver transplant candidate

Enter the values above.

Note

The first-line option is a guide. Treatment is decided in a multidisciplinary meeting, and treatment stage migration applies when the recommended option is not feasible.

Reference

Reig M, Forner A, Rimola J, et al. BCLC strategy for prognosis prediction and treatment recommendation: the 2022 update. J Hepatol. 2022;76(3):681-693.