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Antonio D'Alessio, MD, Imperial College London, London, UK, explores the role of pathological response for predicting relapse-free survival in patients with early-stage hepatocellular carcinoma (HCC) treated with neoadjuvant immunotherapy. Pathological response, particularly complete and major pathological responses, was more strongly associated with relapse-free survival than radiological response, and a notable discrepancy between radiological and pathological responses was also reported. These findings highlight the need for standardized criteria to measure pathological response, which will be essential for the design of future clinical trials in this setting. This interview took place at the ASCO GI Cancers Symposium 2025 in San Francisco, CA. These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.