Indications

Contraindications

Chemotherapy

Cisplatin monotherapy: PRETEXT I-III
Cisplatin + Doxorubicin: PRETEXT IV or extrahepatic disease

well differentiated fetal type tumor

Partial Liver Resection

PRETEXT I, II
PRETEXT III after neoadjuvant chemotherapy
POST TEXT I-III (without major venous involvement)

see transplant indications

Transplant

PRETEXT IV
POST TEXT III with major venous involvement
POST TEXT IV

lung metastases at presentation persistent extrahepatic disease following neoadjuvant chemotherapy