
{"id":4006,"date":"2025-08-30T14:54:53","date_gmt":"2025-08-30T11:24:53","guid":{"rendered":"https:\/\/gimed.ir\/Liver-cancer\/?p=4006"},"modified":"2025-08-30T14:59:19","modified_gmt":"2025-08-30T11:29:19","slug":"staging-risk-assessment","status":"publish","type":"post","link":"https:\/\/gimed.ir\/Liver-cancer\/staging-risk-assessment\/","title":{"rendered":"Staging &amp; Risk Assessment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4006\" class=\"elementor elementor-4006\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dbfc371 e-flex e-con-boxed e-con e-parent\" data-id=\"dbfc371\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4982f7c e-flex e-con-boxed e-con e-parent\" data-id=\"4982f7c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7d85688 e-con-full e-flex e-con e-child\" data-id=\"7d85688\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-49716af e-con-full e-flex e-con e-child\" data-id=\"49716af\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f8be079 e-con-full e-flex e-con e-child\" data-id=\"f8be079\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-786feb9 elementor-widget elementor-widget-text-editor\" data-id=\"786feb9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>\u0645\u0631\u062d\u0644\u0647\u200c\u0628\u0646\u062f\u06cc (<\/b><b>Staging<\/b><b>)<\/b> <b>\u0648 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u062e\u0637\u0631 (<\/b><b>Risk Assessment<\/b><b>)<\/b><b>\u062f\u0631 <\/b><b>HCC<\/b><\/p><ul><li><b>\u0645\u0631\u062d\u0644\u0647\u200c\u0628\u0646\u062f\u06cc \u0633\u0631\u0637\u0627\u0646 \u06a9\u0628\u062f (<\/b><b>HCC staging<\/b><b>)<\/b> \u0628\u0631\u0627\u06cc \u0628\u0631\u0646\u0627\u0645\u0647\u200c\u0631\u06cc\u0632\u06cc \u062f\u0631\u0645\u0627\u0646 \u0628\u0647\u06cc\u0646\u0647 \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f \u0648 \u0628\u0627\u06cc\u062f \u0634\u0627\u0645\u0644 \u0628\u0631\u0631\u0633\u06cc \u0645\u0648\u0627\u0631\u062f \u0632\u06cc\u0631 \u0628\u0627\u0634\u062f [III, A]:<\/li><li>\u0627\u0646\u062f\u0627\u0632\u0647 \u0648 \u06af\u0633\u062a\u0631\u062f\u06af\u06cc \u062a\u0648\u0645\u0648\u0631<\/li><li>\u0648\u0636\u0639\u06cc\u062a \u0639\u0645\u0644\u06a9\u0631\u062f \u06a9\u0628\u062f<\/li><li>\u0648\u062c\u0648\u062f \u067e\u0631\u0641\u0634\u0627\u0631\u06cc \u0648\u0631\u06cc\u062f \u067e\u0648\u0631\u062a (Portal hypertension)<\/li><li>\u0633\u0637\u062d \u0622\u0644\u0641\u0627 \u0641\u062a\u0648\u067e\u0631\u0648\u062a\u0626\u06cc\u0646 (AFP)<\/li><li>\u0648\u0636\u0639\u06cc\u062a \u0639\u0645\u0644\u06a9\u0631\u062f \u0639\u0645\u0648\u0645\u06cc \u0628\u06cc\u0645\u0627\u0631 (Performance status)<\/li><li>FDG-PET \u0628\u0647 \u0639\u0646\u0648\u0627\u0646 \u0631\u0648\u0634 \u0645\u0639\u0645\u0648\u0644 \u0645\u0631\u062d\u0644\u0647\u200c\u0628\u0646\u062f\u06cc \u062a\u0648\u0635\u06cc\u0647 \u0646\u0645\u06cc\u200c\u0634\u0648\u062f [III, D]\u060c \u0627\u0645\u0627 \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u062f \u062f\u0631 \u0628\u0631\u062e\u06cc \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0646\u062a\u062e\u0628 \u0628\u0631\u0627\u06cc \u0645\u0634\u062e\u0635\u200c\u062a\u0631 \u06a9\u0631\u062f\u0646 \u06cc\u0627\u0641\u062a\u0647\u200c\u0647\u0627\u06cc CT \u06cc\u0627 MRI \u0645\u0648\u0631\u062f \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0642\u0631\u0627\u0631 \u06af\u06cc\u0631\u062f [IV, C].<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-71218fe e-con-full e-flex e-con e-child\" data-id=\"71218fe\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-89c2cf9 e-flex e-con-boxed e-con e-parent\" data-id=\"89c2cf9\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-57ebcfd e-con-full e-flex e-con e-child\" data-id=\"57ebcfd\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c12f9e elementor-widget elementor-widget-spacer\" data-id=\"2c12f9e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-dcba334 e-con-full e-flex e-con e-child\" data-id=\"dcba334\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-860ae8e elementor-widget elementor-widget-hotspot\" data-id=\"860ae8e\" data-element_type=\"widget\" data-settings=\"{&quot;hotspot&quot;:[{&quot;hotspot_icon&quot;:{&quot;value&quot;:&quot;fas fa-info-circle&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;hotspot_custom_size&quot;:&quot;&quot;,&quot;hotspot_tooltip_content&quot;:&quot;&quot;,&quot;hotspot_offset_x&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:60,&quot;sizes&quot;:[]},&quot;hotspot_offset_y&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:97,&quot;sizes&quot;:[]},&quot;hotspot_tooltip_position&quot;:&quot;yes&quot;,&quot;hotspot_position&quot;:&quot;right&quot;,&quot;hotspot_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:456,&quot;sizes&quot;:[]},&quot;hotspot_tooltip_text_wrap&quot;:&quot;yes&quot;,&quot;_id&quot;:&quot;cd1eb45&quot;,&quot;hotspot_label&quot;:&quot;&quot;,&quot;hotspot_link&quot;:{&quot;url&quot;:&quot;&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;hotspot_horizontal&quot;:&quot;right&quot;,&quot;hotspot_vertical&quot;:&quot;top&quot;}],&quot;tooltip_position&quot;:&quot;right&quot;,&quot;hotspot_sequenced_animation&quot;:&quot;no&quot;,&quot;tooltip_trigger&quot;:&quot;click&quot;,&quot;tooltip_animation&quot;:&quot;e-hotspot--fade-in-out&quot;}\" data-widget_type=\"hotspot.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"562\" src=\"https:\/\/gimed.ir\/Liver-cancer\/wp-content\/uploads\/2025\/08\/Picture1.png\" class=\"attachment-large size-large wp-image-3992\" alt=\"\" srcset=\"https:\/\/gimed.ir\/Liver-cancer\/wp-content\/uploads\/2025\/08\/Picture1.png 980w, https:\/\/gimed.ir\/Liver-cancer\/wp-content\/uploads\/2025\/08\/Picture1-500x351.png 500w, https:\/\/gimed.ir\/Liver-cancer\/wp-content\/uploads\/2025\/08\/Picture1-300x211.png 300w, https:\/\/gimed.ir\/Liver-cancer\/wp-content\/uploads\/2025\/08\/Picture1-768x539.png 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\n\t\t\t\t\t\t<div class=\"e-hotspot elementor-repeater-item-cd1eb45  e-hotspot--position-right e-hotspot--position-top   e-hotspot--icon\">\n\n\t\t\t\t\t\t\t\t<div class=\"e-hotspot__button e-hotspot--soft-beat\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"e-hotspot__icon\"><svg class=\"e-font-icon-svg e-fas-info-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm0 110c23.196 0 42 18.804 42 42s-18.804 42-42 42-42-18.804-42-42 18.804-42 42-42zm56 254c0 6.627-5.373 12-12 12h-88c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h12v-64h-12c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h64c6.627 0 12 5.373 12 12v100h12c6.627 0 12 5.373 12 12v24z\"><\/path><\/svg><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\n\t\t\t<\/div>\n\n\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae72bfe e-con-full e-flex e-con e-child\" data-id=\"ae72bfe\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bb40432 elementor-widget elementor-widget-spacer\" data-id=\"bb40432\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3f56386 e-flex e-con-boxed e-con e-parent\" data-id=\"3f56386\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3297812 e-con-full e-flex e-con e-child\" data-id=\"3297812\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-34a89a7 e-con-full e-flex e-con e-child\" data-id=\"34a89a7\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d7aa33a e-con-full e-flex e-con e-child\" data-id=\"d7aa33a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5a68497 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"5a68497\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-info-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm0 110c23.196 0 42 18.804 42 42s-18.804 42-42 42-42-18.804-42-42 18.804-42 42-42zm56 254c0 6.627-5.373 12-12 12h-88c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h12v-64h-12c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h64c6.627 0 12 5.373 12 12v100h12c6.627 0 12 5.373 12 12v24z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd4dc66 elementor-widget elementor-widget-text-editor\" data-id=\"bd4dc66\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>\u0639\u0645\u0644\u06a9\u0631\u062f \u06a9\u0628\u062f<\/strong> \u0628\u0627\u06cc\u062f \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0645\u0639\u06cc\u0627\u0631\u0647\u0627\u06cc \u0632\u06cc\u0631 \u0628\u0631\u0631\u0633\u06cc \u0634\u0648\u062f [III, A]:<\/p><ul><li>Child\u2013Pugh score ( \u0634\u0627\u0645\u0644: \u0628\u06cc\u0644\u06cc\u200c\u0631\u0648\u0628\u06cc\u0646 \u0633\u0631\u0645\u060c \u0622\u0644\u0628\u0648\u0645\u06cc\u0646 \u0633\u0631\u0645\u060c \u0648\u062c\u0648\u062f \u0622\u0633\u06cc\u062a\u060c \u0632\u0645\u0627\u0646 \u067e\u0631\u0648\u062a\u0631\u0648\u0645\u0628\u06cc\u0646 \u0648 \u0627\u0646\u0633\u0641\u0627\u0644\u0648\u067e\u0627\u062a\u06cc \u06a9\u0628\u062f\u06cc)<\/li><li>\u06cc\u0627 \u0633\u06cc\u0633\u062a\u0645 ALBI (Albumin-Bilirubin score)<\/li><li>\u0645\u062f\u0644 \u0628\u06cc\u0645\u0627\u0631\u06cc \u0645\u0631\u062d\u0644\u0647 \u067e\u0627\u06cc\u0627\u0646\u06cc \u06a9\u0628\u062f (MELD-Na) \u0628\u0627\u06cc\u062f \u0628\u0631\u0627\u06cc \u062a\u0639\u06cc\u06cc\u0646 \u0627\u0648\u0644\u0648\u06cc\u062a \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u06a9\u0627\u0646\u062f\u06cc\u062f\u0627\u06cc \u067e\u06cc\u0648\u0646\u062f \u06a9\u0628\u062f \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u0648\u062f [IV, A].<\/li><\/ul><p><strong>\u067e\u0631\u0641\u0634\u0627\u0631\u06cc \u0648\u0631\u06cc\u062f \u067e\u0648\u0631\u062a (Portal hypertension)<\/strong> \u0628\u0627\u06cc\u062f \u0628\u0631 \u0627\u0633\u0627\u0633 \u0645\u0639\u06cc\u0627\u0631\u0647\u0627\u06cc \u00a0Baveno VII \u0628\u0627 \u0631\u0648\u0634\u200c\u0647\u0627\u06cc \u063a\u06cc\u0631\u0645\u0633\u062a\u0642\u06cc\u0645 (\u0645\u0627\u0646\u0646\u062f \u0633\u0648\u0646\u0648\u06af\u0631\u0627\u0641\u06cc \u0648 \u0627\u0644\u0627\u0633\u062a\u0648\u06af\u0631\u0627\u0641\u06cc) \u06cc\u0627 \u062f\u0631 \u0635\u0648\u0631\u062a \u0646\u06cc\u0627\u0632 \u0628\u0647\u200c\u0635\u0648\u0631\u062a \u062a\u0647\u0627\u062c\u0645\u06cc \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0645\u0633\u06cc\u0631 \u062a\u0631\u0627\u0646\u0633\u200c\u0698\u0648\u06af\u0648\u0644\u0627\u0631 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0634\u0648\u062f [III, A].<br \/><strong>\u0633\u06cc\u0633\u062a\u0645 \u0645\u0631\u062d\u0644\u0647\u200c\u0628\u0646\u062f\u06cc BCLC (Barcelona Clinic Liver Cancer)<\/strong> \u0628\u0647 \u0639\u0646\u0648\u0627\u0646 \u0633\u06cc\u0633\u062a\u0645 \u062a\u0648\u0635\u06cc\u0647\u200c\u0634\u062f\u0647 \u0628\u0631\u0627\u06cc \u067e\u06cc\u0634\u200c\u0628\u06cc\u0646\u06cc \u067e\u06cc\u0634\u200c\u0622\u06af\u0647\u06cc (Prognosis)\u0648 \u0627\u0646\u062a\u062e\u0627\u0628 \u062f\u0631\u0645\u0627\u0646 \u0645\u0646\u0627\u0633\u0628 \u062f\u0631 \u0646\u0638\u0631 \u06af\u0631\u0641\u062a\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f [IV, A].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b29e44a e-con-full e-flex e-con e-child\" data-id=\"b29e44a\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u0645\u0631\u062d\u0644\u0647\u200c\u0628\u0646\u062f\u06cc (Staging) \u0648 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u062e\u0637\u0631 (Risk Assessment)\u062f\u0631 HCC \u0645\u0631\u062d\u0644\u0647\u200c\u0628\u0646\u062f\u06cc \u0633\u0631\u0637\u0627\u0646 \u06a9\u0628\u062f (HCC staging) \u0628\u0631\u0627\u06cc \u0628\u0631\u0646\u0627\u0645\u0647\u200c\u0631\u06cc\u0632\u06cc \u062f\u0631\u0645\u0627\u0646 \u0628\u0647\u06cc\u0646\u0647 \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f \u0648 \u0628\u0627\u06cc\u062f \u0634\u0627\u0645\u0644 \u0628\u0631\u0631\u0633\u06cc \u0645\u0648\u0627\u0631\u062f \u0632\u06cc\u0631 \u0628\u0627\u0634\u062f [III, A]: \u0627\u0646\u062f\u0627\u0632\u0647 \u0648 \u06af\u0633\u062a\u0631\u062f\u06af\u06cc \u062a\u0648\u0645\u0648\u0631 \u0648\u0636\u0639\u06cc\u062a \u0639\u0645\u0644\u06a9\u0631\u062f \u06a9\u0628\u062f \u0648\u062c\u0648\u062f \u067e\u0631\u0641\u0634\u0627\u0631\u06cc \u0648\u0631\u06cc\u062f \u067e\u0648\u0631\u062a (Portal hypertension) \u0633\u0637\u062d \u0622\u0644\u0641\u0627 \u0641\u062a\u0648\u067e\u0631\u0648\u062a\u0626\u06cc\u0646 (AFP) \u0648\u0636\u0639\u06cc\u062a \u0639\u0645\u0644\u06a9\u0631\u062f \u0639\u0645\u0648\u0645\u06cc \u0628\u06cc\u0645\u0627\u0631 (Performance status) FDG-PET \u0628\u0647 \u0639\u0646\u0648\u0627\u0646 \u0631\u0648\u0634 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