Chronic Hepatitis C Attends in Medicine / Internal Medicine — 55yo Man | Hepatology | SMLE Q#18306

SMLE Question #18306

Medicine / Internal Medicine Hepatology

Objective: OBJ-HEP-ONC-001

Last updated: February 2026
A 55-year-old man with chronic hepatitis C attends hepatology clinic for 2 months of early satiety and vague right upper quadrant discomfort. He has compensated liver disease with no ascites or encephalopathy and good functional status. Triphasic CT abdomen shows a solitary 6 cm arterial-enhancing lesion with portal venous washout in the right hepatic lobe, with no vascular invasion or extrahepatic disease. What is the most appropriate management at this stage?

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