A 58-year-old man with cirrhosis due to hepatitis C is screened with ultrasound, which shows a 2.5-cm lesion in the liver. AFP is mildly elevated. Tri...

Question

A 58-year-old man with cirrhosis due to hepatitis C is screened with ultrasound, which shows a 2.5-cm lesion in the liver. AFP is mildly elevated. Triphasic CT demonstrates arterial enhancement with venous washout. There is no portal vein thrombosis or extrahepatic disease. What is the most appropriate management?

Accepted Answer

Curative liver resection or ablation depending on liver function

Answer

Liver biopsy of the lesion

Answer

Transarterial chemoembolization

Answer

Systemic chemotherapy

Answer

Observation with repeat imaging in 6 months

us-abfm MCQ (SBA): Hepatocellular Carcinoma