Barely Significant

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Underlying viral cirrhosis ( p = 0.033), A6 or higher pre-SBRT Child–Pugh score ( p = 0.010), and pre-SBRT platelet count <100,000/mm 3 ( p = 0.017) were significant for a rise in Child–Pugh score of 2 points or more, and the volume of liver-GTV <1000 cm 3 ( p = 0.093) approached significance.
Importantly, patients who underwent surgery after CROSS showed a trend toward improved OS compared with those who did not (44.1 vs. 19.6 months), reaffirming the critical role of surgery in achieving durable outcomes in this complex disease setting.