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LT vs. no surgery 58.1% vs. 54.3% vs. 10.2%, p0.001). Patients aged60years with a single tumor, no treatment history, pre-treatment Child class A, lower pre-treatment tumor marker levels, and radiologic complete or partial response (all p0.05 had a higher chance of conversion to surgery. LDCRT could convert tumors to within the Milan criteria as a bridge to curative surgery, and improved long-term survival for the selected patients. Clinicians should consider LDCRT followed by curative surgery for young patients who are tre