Chronic Hep B patient on Antiviral presenting with Liver SOL

A male aged 46 years who is on treatment (Tab Tenofovir) for Chr Hep B since 10 years Chief Complaints Anorexia Abd Pain since 1 month Physical Examination Mild Hepatomegaly No free fluid Investigations AFP- 2376 TPCT Whole abdomen Management Discuss the differentials for CT findings

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Arterial phase enhancement and early washout noted HCC Looks like 2-3 cm RFA can be done - difficulty-close to hilum of liver Non cirrhotic liver - HVPG, scopy for varices If HVPG is normal segmental resection Listing for Liver transplant if HVPG is elevated

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SOL suggestive of hepatocellular carcinoma Confirm by fnac

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