A 58-year-old with HCV-related compensated cirrhosis achieves sustained virological response after direct-acting antivirals. Liver stiffness falls

Question

A 58-year-old with HCV-related compensated cirrhosis achieves sustained virological response after direct-acting antivirals. Liver stiffness falls and aminotransferases normalise. What surveillance remains appropriate?

Accepted Answer

Continue ultrasound with or without AFP every six months while treatment-eligible

Answer

Measure AFP every six months and image only after a sustained concentration rise

Answer

Continue annual ultrasound for two years and stop if liver tests remain normal

Answer

Stop HCC surveillance after two normal ultrasounds performed six months apart

Answer

Replace ultrasound with contrast CT every six months after virological cure

Post-SVR HCC Risk — SCE Infectious Diseases MCQ

A 58-year-old with HCV-related compensated cirrhosis achieves sustained virological response after direct-acting antivirals. Liver stiffness falls and aminotransferases normalise. What surveillance remains appropriate?