An 83-year-old alcoholic patient presented with a 6-week history of weight loss, fever, and right hypochondrium pain. Test results show alpha-fetoprotein 120 (normal values 0-40 ng... An 83-year-old alcoholic patient presented with a 6-week history of weight loss, fever, and right hypochondrium pain. Test results show alpha-fetoprotein 120 (normal values 0-40 ng/mL) and an abdominal ultrasound revealing ascites and focal liver lesion in a cirrhotic liver. Which of the following is the most likely diagnosis? A. Liver abscess B. Pancreatic cancer C. Hydatid liver disease D. Hepatocellular carcinoma
Understand the Problem
The question presents a medical scenario involving an alcoholic patient with specific symptoms and lab results. It asks which diagnosis is the most likely based on the provided information.
Answer
Hepatocellular carcinoma
The most likely diagnosis is Hepatocellular carcinoma.
Answer for screen readers
The most likely diagnosis is Hepatocellular carcinoma.
More Information
Hepatocellular carcinoma is often associated with cirrhosis and elevated alpha-fetoprotein levels. The symptoms and test results strongly suggest this diagnosis for a patient with a history of alcohol use.
Tips
A common mistake is not considering the elevated AFP levels as a key indicator for hepatocellular carcinoma.
Sources
- Alcoholic-Associated Hepatitis - StatPearls - NCBI Bookshelf - ncbi.nlm.nih.gov
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