... CLIP 0, 0 points; CLIP 1, 1 point; CLIP 2, 2 points; CLIP 3, 3 points. Chapter 088. Hepatocellular Carcinoma (Part 4) Physical Signs Hepatomegaly is the most common physical sign, occurring ... liver typically precludes chemotherapy. Table 88-4 Clip and Okuda Staging Systems for Hepatocellular Carcinoma CLIP Classification Points Variables 0 1 2 i. Tumor number Single Multiple...