Tumoral recurrence rate and survival of @entity1 with @entity157 ( @entity157 ) treated by orthotopic liver transplantation (OLT) depend on @entity5 stage. Thereby, from the beginning of our program, we selected only @entity1 with solitary @entity5 < or = 5 cm without vascular invasion, thus avoiding the use of the @entity5 -node-metastasis (TNM) staging system as a selection tool. The present study reports the results obtained in 58 consecutive @entity1 (52 +/- 8 years, 47 males) with @entity157 (7 incidentals) transplanted between 1989 and 1995. Transplantation was indicated because of @entity5 diagnosis in 40 cases and advanced @entity1578 in 18. Mean @entity5 size at staging was 28.2 +/- 12.1 mm. No adjuvant treatment was applied during the waiting period (58.9 +/- 45.1 days). The pathological @entity5 -node-metastasis (pTNM) classification allocated 15 @entity1 to stage I, 19 to stage II, 11 to stage IIIA, and 13 to stage @entity3480 showing preoperative understaging in 43% of the cases with known @entity5 . After a median follow up of 31 months, only two @entity1 have shown @entity5 recurrence and fifteen have died, the 1-, 3-, and 5-year survival being 84%, 74%, and 74%. All @entity3531 + @entity1 remain infected and 94% showed significant @entity409 (6 @entity82 ). Six @entity1 have had a second transplant. In conclusion, the application of restrictive criteria not following the TNM staging system prompts excellent results for liver transplantation in @entity1 with @entity157 , both in terms of survival and disease recurrence, even without applying adjuvant treatment; however, the survival data should be tempered by the appearance of complications that may worsen the long-term prognosis.

Liver transplantation for small hepatocellular carcinoma: the XXXX -node-metastasis classification does not have prognostic power.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity82 :: ('MESH:D005355', 'Disease') :: ['cirrhosis'] @entity3480 :: ('MESH:C538167', 'Disease') :: ['IVA'] @entity3531 :: ('11096', 'Species') :: ['HCV'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity409 :: ('MESH:D008107', 'Disease') :: ['liver disease'] @entity1578 :: ('MESH:D017093', 'Disease') :: ['liver failure'] @entity157 :: ('MESH:D006528', 'Disease') :: ['HCC', 'hepatocellular carcinoma']
@entity5 :: (MESH:D009369,Disease) :: ['tumor']
