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Small HCC Child-Pugh B — RACP Adult Medicine MCQ

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ModerateGeneral Internal MedicineSmall HCC Child-Pugh BRACP Adult Medicine

A 50-year-old man: HCC within Milan criteria, Child-Pugh B. Not transplant candidate. Most appropriate curative-intent treatment?

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Correct answer: B — RFA or microwave ablation

Small HCC (≤3 cm) in Child-Pugh B: ablation (RFA/MWA) preferred over resection (impaired hepatic reserve increases surgical risk).

Reference: Cancer Council – 2020; AASLD – 2023