Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 31: A 55-Year-Old Man Is Newly Diagnosed With Cirrhosis From Hepatitis C. What Is The Best Imaging Modality And Treatment Strategy To Screen Him For Hepatocellular Carcinoma? (continued)

William R. Hutson, MD

Hepatocellular carcinoma (HCC) is one of the most common solid malignancies in the world with an increasing incidence worldwide. During the past decade, HCC has had an exceptional increase in incidence and death rate among solid tumors in the United States. It is postulated that the incidence of HCC will continue to increase for the foreseeable future, primarily due to hepatitis C infection. Most patients with HCC are diagnosed at an advanced stage, which results in a dismal overall 1-year survival rate of only 25% in the United States. Therefore, early detection and treatment of this disease…