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Marys Hospital, (9)Hanwa Memorial Hospital, (10)Ehime, Toon-shi, Ehime, Japan, (11)Kindai University Faculty of Medicine, Osaka-Sayama, Japan Background: The study goal was to compare the outcomes of patients with intermediate-stage (Barcelona Clinic Liver Cancer [BCLC]-B) hepatocellular carcinoma (HCC) who received atezolizumab plus bevacizumab (Atezo/Bev) or lenvatinib (LEN) as first-line systemic therapy