What are the American Association for the Study of Liver Diseases guidelines for the monitoring of hepatocellular carcinoma (HCC) in patients with cirrhosis?

Updated: Jul 30, 2018
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Answer

Answer

The incidence of hepatocellular carcinoma (HCC) has risen in the United States. The practice guidelines of the American Association for the Study of Liver Diseases recommend that patients with cirrhosis undergo surveillance for HCC with ultrasonography every 6 months. [69] The discovery of a liver nodule should prompt the performance of a 4-phase CT scan or an MRI scan (ie, unenhanced, arterial, venous, and delayed phases). Lesions that enhance in the arterial phase and exhibit "washout" in the delayed phases are highly suggestive of HCC.


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