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Milan criteria
Indications:
- criteria used to assess suitability in patients with cirrhosis & hepatocellular carcinoma for liver transplantation [2]
Procedure:
- single tumor with diameter <= 5 cm, or up to 3 tumors each with diameter <= 3 cm
- no extra-hepatic involvement
- no major vessel involvement
Clinical significance:
- patients who met Milan criteria have good 5 year survival after liver transplantation [1]
- patients who meet Milan criteria & have a tumor >= 2 cm are eligible for MELD score exception points, placing them at higher priority for liver transplantation [1]
General
criteria
References
- Medical Knowledge Self Assessment Program (MKSAP) 17,
American College of Physicians, Philadelphia 2015
- Hacking C, Weerakkody Y
Milan criteria in liver tranplantation
Radiopedia.org
http://radiopaedia.org/articles/milan-criteria-in-liver-tranplantation