hepatocellular carcinoma Flashcards

1
Q

aetiology

A

cirrhosis - uk
hepatitis - blobally

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2
Q

screening offered to those with cirrhosis

A

HCC USS screen every 6 months

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3
Q

causes

A
  • chronic hep B
  • chronic hep C
  • chronic heavy alcohol use
  • diabetes mellitus
  • family history of liver cancer
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4
Q

symptoms

A

often assymptomatic
may have abdominal pain

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5
Q

investigation

A
  • raised AFP - alpha feta protein
  • CT/MRI - diagnostic in presence of cirrhosis - gold standard
  • biopsy - gold standard in the absence of cirrhosis
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6
Q

gold standard in the absence of cirrhosis

A

biopsy

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7
Q

diagnostic in presence of cirrhosis - gold standard

A

CT/MRI

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8
Q

management

A

surgical resection
radiotherapy

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