Question 334 · LEK · Hepatocellular carcinoma (HCC)
A 58-year-old male presents at the outpatient unit due to focal lesion of 3 cm in diameter in the left liver lobe, accidentally detected during abdominal ultrasound. In history: chronic hepatitis B, moderate alcohol consumption, no systemic symptoms. Laboratory tests revealed normal ALT/AST and elevated AFP (alpha-fetoprotein) levels. Indicate the appropriate management:
- A. immediate percutaneous biopsy of the liver tumour under ultrasound guidance.
- B. CT or MRI scan with contrast enhancement.
- C. observation and repeat ultrasound scan with elastography in 12 months.
- D. initiation of empirical chemotherapy.
- E. surgical treatment without further diagnostics.
Hint
In a high-risk liver, HCC can often be diagnosed non-invasively; what study shows the typical vascular pattern of the lesion?
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