SNACOR Score

The SNACOR model comprise of following parameters: tumor Size, tumor Number, baseline serum AFP, Child-Pugh class, and Objective radiologic Response by mRECIST criteria after the first TACE session. All five components are well-known independent prognostic parameters representing tumor characteristics and liver functions.¹

ParametersPoints
Radiological response after first TACE (mRECIST)
Present (CR+PR)
Absent (SD+PD)


0 Point
3 points
AFP at baseline
< 400 ng/ml
≥ 400 ng/mL
0 Point
3 Point
Number of Lesion 
< 4
≥ 4
0 Point
2 Point
Tumor Size
< 5 cm
≥ 5 cm
0 Point
2 Point
Child-Pugh Score at Baseline
A
B
0 Point
1 Point
Total0 to 2 = Low risk 
3 to 6 = Intermediate risk
7 to 10 = High risk
  1. Kim BK, Shim JH, Kim SU, Park JY, Kim DY, Ahn SH, Kim KM, Lim YS, Han KH, Lee HC. Risk prediction for patients with hepatocellular carcinoma undergoing chemoembolization: development of a prediction model. Liver International. 2016 Jan;36(1):92-9.
  2. Karademir S. Staging of hepatocellular carcinoma. Hepatoma Res. 2018;4:58.
  3. Kinoshita, Akiyoshi et al. “Staging systems for hepatocellular carcinoma: Current status and future perspectives.” World journal of hepatology vol. 7,3 (2015): 406-24. doi:10.4254/wjh.v7.i3.406
  4. Subramaniam, Somasundaram et al. “A review of hepatocellular carcinoma (HCC) staging systems.” Chinese clinical oncology vol. 2,4 (2013): 33. doi:10.3978/j.issn.2304-3865.2013.07.05
     
Skip to content