Friday, January 15, 2010

Hepatocellular Carcinoma

Hep C is highest risk factor worldwide of HCC (>50% in NA)
- any type of cirrhosis carries risk of HCC
- what about Hep A (or is it only chronic Hepatides)

Screening in cirrhotic pts important:
- clinical presentation will be late in disease process 
- AFP, U/S q6 months

- any solid liver nodule not clearly a hemangioma should be considered an HCC in a cirrhotic pt until proven otherwise

REsection 
Child PUgh A - normal bili, INR, albumin, no encephalopathy, no ascites
unilobar
no major co-morbidites


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