Question

A 60-year-old man with long-standing hepatitis B cirrhosis (Child-Pugh A) is under shared care between a liver clinic and his GP. According to standard practice, what is the recommended surveillance strategy for hepatocellular carcinoma (HCC) in such patients?

Accepted Answer

Liver ultrasound every 6 months with or without alpha-fetoprotein

Answer

Annual abdominal CT scan without ultrasound

Answer

Liver ultrasound every 2 years

Answer

Surveillance only if liver enzymes become abnormal

Answer

No surveillance is required until decompensation

Practice question

A 60-year-old man with long-standing hepatitis B cirrhosis (Child-Pugh A) is under shared care between a liver clinic and his GP. According to standard practice, what is the recommended surveillance strategy for hepatocellular carcinoma (HCC) in such patients?