Ramu, 40-year-old male, chronic alcoholic, diagnosed as cirrhosis, presents with a lump in the right lobe of liver. Serum AFP level is normal. Most probable diagnosis is:: (A) Fibro hyperplasia, (B) Hepatocellular carcinoma, (C) Secondaries, (D) Hepatocellular adenoma
Answer is B. Ans. (b) Hepatocellular carcinoma* Cirrhotic background - Any SOL think of HCC first.* AFP is raised only in 70% cases of HCC - 30% cases it will be normal.