HCC Hepatocellular Carcinoma Flashcards
1
Q
What is HCC
A
Primary liver cancer in males arising from liver parenchyma
2
Q
What are the RF for HCC
A
Males
Hep B and C
Cirrhosis from ALD/NAFLD/Haematochromatosis
3
Q
Where and how can HCC metastasise
A
Lymph node
Bones
Lungs
Via Haematogenous spread (Hepatoportal vein)
4
Q
What are the presentations of HCC
A
Decompensated signs
Cancer signs
Irregular Hepatomegaly
5
Q
What are the investigations of HCC
A
Raised AFP
1st =USS
Gold = CT
6
Q
AFP is raised in HCC and what other cancer
A
Testicular
7
Q
What is the Gold standard investigation of HCC and why is it CI
A
CT
-Can cause SEEDING
8
Q
How is HCC treated
A
Tumour resection
Liver transplant
9
Q
How can HCC be prevented
A
HBV Vaccine