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Two years Local Control (LC), Progression-Free Survival (PFS), and Overall Survival (OS) were 93%, 31%, and 43%, respectively. Acute toxicity occurred in 28% (n=13) of treatments. A G8 score10 was associated with improved survival (p=0.045), while a CCI ≥10 was correlated with increased acute toxicity (p=0.021). SBRT is a safe and effective option in older old adults HCC patients. A comprehensive geriatric assessment (CGA) is advised before treatment decisions to select optimal candidates for SBRT. SBRT is a safe and effective option
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