A 47 year old male with a 25 year history of chronic hepatitis B infection begins to notice weakens and an unexplained weight loss


Question Number 0908
Question:
A 47 year old male with a 25 year history of chronic hepatitis B infection begins to notice weakens and an unexplained weight loss. On physical examination, he has a tender, enlarged liver with a palpable mass. On auscultation, a friction rub is heard. Laboratory tests reveal that he has an elevated alpha fetoprotein, elevated serum alkaline phosphatase and a mildly elevated bilirubin. Further diagnostic tests detect a mass in his liver surrounded by smaller nodules. He has some enlarged regional lymph nodes as well. What condition is most likely?
a) primary biliary cirrhosis
b) Gilbert's Syndrome
c) hepatocellular carcinoma
d) Laennec's cirrhosis
e) hepatitis A


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