Metastatic breast cancer mimicking hepatocellular carcinoma: differences in noninvasive guidelines.

Hepatocellular carcinoma (HCC), unlike most solid tumors, can be diagnosed noninvasively. We present a case that highlights an important clinical difference between two established guidelines: National Cancer Comprehensive Network (NCCN) and Barcelona-2000 EASL Conference (European Association for the Study of the Liver). Our patient had a large liver mass extending into the right atrium with elevation of the alpha-fetoprotein to 1,130 ng/mL.

Hepatitis B seroprevalence and disease characteristics in an urban Chinatown community.

Background & Aims: Chronic HBV infection is prevalent among Asian immigrants and is an important cause of cirrhosis and hepatocellular carcinoma. The aim of this study was to evaluate the HBsAg seroprevalence and to characterize hepatitis B in persons who presented to an urban Chinatown internal medicine practice.

Methods: Records were reviewed retrospectively from 4671 adult patients who had at least 1 office visit during a 2-year period.