Hepatocellular carcinoma

Risk factor- HBV, HCV, nitrosamine, aflatoxin, senecio alkaloid, alcohol, metabolic syndrome, DM, iron overload, obesity, Alpha-1 antitrypsin deficiency, AIP, gallstone, cholecystectomy, red meat Protective factor- Statin, aspirin, NSAID, white meat CT- Arterial phase(early enhance, hyperdense), Venous phase(early washout, hypodense) Systemic effect and paraneoplastic syndrome- Painful gynecomastia, hypercalcemia, hypoglycemia, hyperlipidemia, hyperthyroidism, pseudo-porphyria Presentation- Abdominal pain, weight […]