A 48-year-old Korean-born man living in Australia presents for a routine check. He has chronic hepatitis B surface antigen positivity, normal ALT and ...

Question

A 48-year-old Korean-born man living in Australia presents for a routine check. He has chronic hepatitis B surface antigen positivity, normal ALT and no cirrhosis on ultrasound. He has no family history of hepatocellular carcinoma (HCC). According to Australian guidelines, which surveillance strategy is recommended for HCC?

Accepted Answer

Ultrasound liver and AFP every 6 months

Answer

No surveillance because ALT is normal

Answer

Serum AFP every 5 years

Answer

CT liver every year

Answer

Liver biopsy every 2 years

au-amc MCQ (SBA): HCC surveillance in chronic hepatitis B