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Table 1 HCC macroscopic classification recommended by the LCSGJ and KLCA

From: The strengths and weaknesses of gross and histopathological evaluation in hepatocellular carcinoma: a brief review

Gross subtypes according to the LCSGJ (as described by Kanai et al and Hui et al)

 Type 1: single nodular (SN)

Single oval or round-shaped nodule with clear boundary

 Type 2: single nodular with extra-nodular growth (SNEG)

Similar to type 1, but exhibiting varying degrees of extra-nodular growth

 Type 3: confluent multinodular (CMN)

Lobulated tumor comprising clusters of smaller, confluent nodules

 Type 4: poorly-demarcated or infiltrative

Tumors with irregular shape and unclear border

Gross subtypes according to the KLCA (according to Jang apud Lee et al)

 Vaguely nodular (VN)

Nodule with indistinct margins. This subtype is usually restricted to early tumors (< 3.0 cm)

 Expanding nodular (EN)

Circumscribed nodule with well defined margin

 Multinodular confluent (MC)

Clusters of small, confluent nodules forming a uniform tumor

 Nodular with peri-nodular extension (NP)

Similar to the EN subtype, but showing small extra-nodular cancer growth (inferior to 50% of the tumor circumference)

 Infiltrative (INF)

Tumors with extensive extra-nodular growth (superior to 50% of the tumor circumference)