Firm in Medicine / Internal Medicine — 55yo Man | Hepatology | SMLE Q#11514
SMLE Question #11514
Medicine / Internal Medicine
Hepatology
Objective: OBJ-HEP-01
Last updated: February 2026
A 55-year-old man with chronic hepatitis C and compensated cirrhosis presents with a firm, non-tender right upper quadrant mass. Triphasic contrast CT shows a solitary 6 cm lesion in the right hepatic lobe with arterial hyperenhancement and portal venous washout, with no vascular invasion or extrahepatic disease. He has Child-Pugh A liver function, no clinical portal hypertension, and ECOG performance status 0. What is the most appropriate next step in management?
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