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The Barcelona Clinic Liver Cancer （BCLC） system is a major international framework for hepatocellular carcinoma prognostic assessment and treatment decision-making. While preserving the overall architecture of the 2022 edition，the 2026 update integrates the latest research evidence in locoregional therapy，systemic therapy，and liver transplantation，emphasizes a direct correspondence between staging and evidence-based first-line treatment options，and highlights the refined assessment of liver function，individualized decision-making，and pathway optimization in complex scenarios. This article gives an excerpt of the core concepts，key definitions，and key points regarding first-line treatment options for different stages in the 2026 update，with brief comments on the clinical practice in China.

, authors=Jihua Xue¹, Qingfen Ye², Yinying Lu³, authorsList=Jihua Xue, Qingfen Ye, Yinying Lu, authorCompany=null, correspAuthors=Yinying Lu, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1317885700960273150, articleId=1317885700435985148, tenantId=1146029695717560320, journalId=1316781422847033486, language=CN, title=《巴塞罗那肝癌临床分期预后评估与治疗推荐策略：2026更新版》摘译, columnId=1317885688037618114, journalTitle=临床肝胆病杂志, columnName=指南与规范, runingTitle=null, highlight=null, articleAbstract=

巴塞罗那肝癌临床分期（BCLC分期）系统是肝细胞癌预后评估与治疗决策的重要国际框架。BCLC 2026版在保留2022版总体架构的基础上，整合了局部治疗、系统治疗及肝移植领域的最新研究证据，强调各分期与循证医学支持的首次治疗选择直接对应，突出肝功能精细评估、个体化决策及复杂情境下的路径优化。本文对BCLC 2026版的核心观念、关键定义及各阶段首次治疗选择要点进行摘译，并结合我国临床实践作简要评述。

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