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HCC surveillance can detect early tumors that are potentially amenable to treatment; hence, all patients at higher risk of developing HCC and who are eligible for HCC therapy are candidates for regular HCC surveillance.
I
Strong
•
Level of awareness of physicians managing patients of chronic liver disease is a major factor in surveillance of HCC; there is a need for greater healthcare provider awareness to improve HCC surveillance.
III
Strong
•
Following patients should be subjected to surveillance for HCC:
∘
Patients with cirrhosis
▪
Child's A and B cirrhotic patients of any etiology
▪
Child's C cirrhotic patients of any etiology who are listed for liver transplantation
∘
Patients without cirrhosis
▪
Patients with chronic hepatitis B who have increased risk for HCC according to risk scores such as CU-HCC or PAGE-B
▪
Chronic HCV with advanced fibrosis.
I
Strong
•
Six-monthly ultrasound abdomen by experienced personnel plus AFP level is the recommended surveillance test.