Hepatitis web study Special Circumstances for Acceptance Alcoholic cirrhosis: Only for patients having psychosocial factors predicting long-term sobriety -Previous social stability -Employment record -Psychiatric status -Length of sobriety -Participation in alcohol recovery awaiting transplantation Patients over age 60: - Particular attention to silent coronary or vascular disease - Typically approved if no other major organ disease & expected to live >5 years Patients with hepatocellular carcinoma Undergo special scrutiny and adjunctive therapy - Thorough evaluation for identifiable malignancy outside of the liver - Adjuvant therapy in the form of chemo-embolization or chemotherapy to control the spread of cancer cells or unrecognized micrometastases
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