MCQ On Hepatocellular cancer

1. A 55 year old man with established cirrhosis underwent a six monthly surveillance ultrasound scan (USS). It showed a suspicious focal liver lesion. A subsequent contrast enhanced CT scan of abdomen confirmed a 2.5 cms focal lesion in the liver. AFP was raised at 200 ng/ml.  A previous AFP and USS were normal 6 months earlier. What is the most appropriate next step?

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2. A 60 year old man with established cirrhosis had a surveillance ultrasound scan (USS). It showed a 2 cms focal liver lesion. AFP levels were normal. What is the most appropriate next step?

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3. Surveillance for Hepatocellular cancer is recommended in high risk patients with cirrhosis. All the following patients are considered to be high risk except one:

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4. A 40 year old Chinese man with cirrhosis due to hepatitis C is worried about the risk of hepatocellular cancer (HCC) after reading a newspaper report. He seeks an earlier outpatient appointment to discuss the risks. The risk of Hepatocellular cancer in him is:

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