Question

A 62-year-old man with chronic hepatitis C has developed cirrhosis. He has no prior variceal bleeding. According to Canadian guidelines, what screening is recommended for hepatocellular carcinoma (HCC)?

Accepted Answer

Abdominal ultrasound every 6 months with or without alpha-fetoprotein

Answer

No HCC surveillance is necessary until symptoms appear

Answer

CT abdomen every year

Answer

Liver biopsy every 2 years

Answer

Screening only if liver enzymes become elevated

Practice question

A 62-year-old man with chronic hepatitis C has developed cirrhosis. He has no prior variceal bleeding. According to Canadian guidelines, what screening is recommended for hepatocellular carcinoma (HCC)?