Hepatocellular Carcinoma Flashcards
1
Q
Presentation
A
Jaundice
Easy bleeding - reduce clotting factors
Non tender abdomen - mildly distended
FLAWS
2
Q
Risk factors
A
Age
Chronic hepatitis
Smoking
Heavy alcohol consumption
3
Q
Investigations
A
Abdominal examination
Basic obs
Bloods
- FBC
- U+Es
- LFTS
- AFP
- clotting screening - PT and APTT
- serology (exclude hepatitis)
Imaging:
- USS
- CT abdomen
- biopsy
- Staging CT
4
Q
Management
A
Liver resection
Transplant
5
Q
Incision for liver transplant/resection
A
Mercedes Benz incision
6
Q
Primary vs secondary
A
Secondary mets - 90%
