Lalloo, 60 years of age, a known case of cirrhosis liver, presents with increased levels of Alpha feto protein, hepatomegaly 3 cm below costal margin. USG showed lesions involving the right lobe of the liver. What is the most probable diagnosis :: (A) Focal nodular hyper-plasia, (B) Hepatocellular carinoma, (C) Hepatic adenoma, (D) Metastasis
Answer is B. Answer is B (Hepatocellular Carcinoma): Presence of elevated Alphaletoprotein levels (tumor marker) and hepatomegaly (most common clinical sign) in a sixty year old patient with cirrhosis (predisposing factor) suggests the diagnosis of hepatocellular carcinoma.