All are true about fibrolamellar HCC except:
Correct Answer: Well demarcated and encapsulated
Description: Ans. (d) well demarcated and encapsulatedRef: Sabiston 19/e p 1458Features of Fibro lamellar HCC:* MC in Young adults (M = F)* No H/o Cirrhosis* Pathology: Well demarcated, Non encapsulated, Central Fibrotic scar* High resectable rate* Slow growth, Better prognosis* AFP is normal* Neurotensin and Vit- B12 Binding Globulin are elevated* Recurrence is common after resection (80% recur)* Lymph nodes ++ predict worst outcome
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