Hepatocellular Carcinoma Flashcards
1
Q
What is a common feature of most liver cancers?
2 common causes?
Most common risk worldwide
A
Secondary - from mets
NAFLD
ALD
Viral hepatitis - HBV vaccine reduces this
2
Q
Presentation - 2
A
Chronic liver disease or acute decompensation, the latter being a bad prognostic sign
3
Q
Investigations:
What should be done if liver USS shows nodules <1cm?
What should be done if liver USS shows nodules >1cm?
A
Repeat USS in 6 months
CT or MRI + biopsy
4
Q
Management:
First-line for patients with solitary tumours that are < 5cm?
What is done if unresectable?
What can be done for localised but unresectable disease?
A
Surgical resection
Transplantation
Radiofrequency ablation