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

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2
Q

Presentation - 2

A

Chronic liver disease or acute decompensation, the latter being a bad prognostic sign

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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

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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

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