Question

A 65-year-old man with cirrhosis secondary to hepatitis C (Child-Pugh B) attends hepatology clinic. He has no history of variceal bleeding. According to guideline-based care for cirrhosis, which surveillance strategy is most appropriate for hepatocellular carcinoma (HCC)?

Accepted Answer

Abdominal ultrasound every 6 months with or without alpha-fetoprotein

Answer

Annual CT scan of the abdomen

Answer

Screening only when liver enzymes rise significantly

Answer

No screening is required unless he develops symptoms

Answer

Alpha-fetoprotein alone every 12 months

Practice question

A 65-year-old man with cirrhosis secondary to hepatitis C (Child-Pugh B) attends hepatology clinic. He has no history of variceal bleeding. According to guideline-based care for cirrhosis, which surveillance strategy is most appropriate for hepatocellular carcinoma (HCC)?