A 58-year-old man with chronic hepatitis B and cirrhosis presents with progressive weight loss and right upper quadrant discomfort. Vital signs show BP 128/76, HR 92, RR 16, Temp 37.2°C, SpO2 98%. Ultrasound reveals a 3.5-cm heterogeneous liver mass with arterial enhancement. Alpha-fetoprotein is elevated at 385 ng/mL. Prothrombin time is mildly prolonged. He denies fever or jaundice. Which diagnosis is most likely?
- A)Cholesterol polyp
- B)Cavernous hemangioma
- C)Hepatic adenoma
- D)Hepatocellular carcinomaGABARITO
- E)Focal nodular hyperplasia
Explicação
HCC commonly arises in cirrhotic livers and is associated with hepatitis B, hepatitis C, alcohol related cirrhosis, and aflatoxin exposure. Elevated AFP and a new liver mass strongly suggest HCC. Ver explicação completa e trilha adaptativa →