Man 52 yo with chronic hepatitis HBV, follow up every 6 months and AFP, HBV -DNA negative. But ultrasound detected big tumor 6 cm in diameter at left lobe of liver.
US 1: transverse scan this tumor is well bordered, hypoechoic pattern.
US 2: longitudinal scan at tumor site.
US 3: color Doppler= the vascular supply to tumor is from left liver.
MRI with Primovist uptaked and washed out as a HCC.( MRI 1, 2, 3, 4).
Blood test Wako only DCP raised 91 UI.
Summary: in case chronic hepatitis HBV ultrasound detected big tumor in liver, Wako test only DCP raised.
What is your suggestion for diagnosis?