A classification of the patients with hepatocellular carcinoma based on clinical manifestations and disease course is proposed. It is primarily based on the Berman's classification (1951) with additional three more types, namely, “frank”, “febrile”, “acute abdominal”, “metastatic”, “occult”, “cirrhotic”, “cholestatic”, and “hepatitic” types. Certain clinical characteristics are shown to be related to liver pathology. Such classification is of practical value in assessing prognosis and determining the therapeutic measure. Beside these clinical types, certain features of tumor pathology are shown to be closely related to clinical manifestations, such as encapsulated carcinoma, clear cell carcinoma, sclerosing carcinoma and intravascular tumor growth.
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