This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'About fibrolamellar carcinoma, TRUE is : \nSelect and explain. \nA. Diffuse in nature, B. Occurs after 60 years of age, C. Cirrhosis is the most common presenting feature, D. Has better prognosis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Answer is D (Has better prognosis) Fibrolamellar carcinoma grows slowly and is associated with a longer survival if treated. It has a distinctly better prognosis. Characteristic features of fibrolamellar carcinoma Distinctive variant of Hepatocellular carcinoma Occurs in young adults (20 to 40 years of age) Equal sex incidence (Robbins); More common in females-Chandrasoma Taylor No association with HBV or cirrhosis Well circumscribed mass (localized) Non encapsulated but well circumscribed. Grossly encapsulated -- Chandrasoma Taylor No AFP elevation -Chandrasoma Taylor Better prognosis: Slow growth and longer survival.', 'role': 'assistant'}]