Question

A 59-year-old man with hepatitis C-related cirrhosis (Child-Pugh A) is reviewed in clinic. He has no history of hepatocellular carcinoma (HCC). What is the most appropriate surveillance strategy for HCC?

Accepted Answer

Abdominal ultrasound every 6 months with or without serum alpha-fetoprotein

Answer

CT liver with contrast annually

Answer

MRI liver with contrast every 3 years

Answer

Serum alpha-fetoprotein only every 6 months

Answer

No surveillance is required if liver function is stable

Practice question

A 59-year-old man with hepatitis C-related cirrhosis (Child-Pugh A) is reviewed in clinic. He has no history of hepatocellular carcinoma (HCC). What is the most appropriate surveillance strategy for HCC?