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Diagnostics of liver cancer

The diagnosis is achieved using a combination of:

  • ultrasound with contrast
  • MRI/CT, possibly with contrast (3 phases)
  • blood tests (AFP, PIVKA II)

In 9 of 10 cases, radiology (characteristic charging patterns in two modalities) and blood tests are sufficient to make the diagnosis. In 10% of cases of HCC, where there are multiple small lesions and liver cirrhosis, a fine-needle or core biopsy may be necessary. 

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