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Review
. 2015 Dec 9;6(5):122-125.
doi: 10.1002/cld.513. eCollection 2015 Nov.

Ethics and informed consent in patients with hepatocellular carcinoma: Changing roles for hepatologist and radiologist

Dirk J van Leeuwen  1   2 , Otto M van Delden  3
Affiliations
Review

Ethics and informed consent in patients with hepatocellular carcinoma: Changing roles for hepatologist and radiologist

Dirk J van Leeuwen et al. Clin Liver Dis (Hoboken). .
No abstract available

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Figures

Figure 1
Figure 1
Approach to clinical ethical decisions in patient with liver tumor. Adapted from Clinical Ethics.5 Copyright 2010, The Royal Society of Medicine.
Figure 2
Figure 2
The approach of hepatocellular carcinoma by a liver tumor team involves diverse complementary aspects. No individual participant can decide to initiate treatment without involvement of another who helps in the optimal decision making. Performing a chemoembolization may lead to major liver failure with a single rescue option of liver transplant. That needs to be considered before the procedure, including a decision whether the patient would be a good transplant candidate if needed. Knowledge of pre‐existing liver disease/fibrosis may be needed and can change management plans. Biopsy may cause spillage, and proactive measures may be needed. Personal values, identification of clear treatment goals, and pain may all need attention to enable many other options.
Figure 3
Figure 3
Take‐home messages: ethics, liver tumor team, and informed consent.
See this image and copyright information in PMC

References

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