NBME 23 Answers ↦
wired-in
Patient has 5 yr h/o hep C, so it is chronic. Chronic inflammation is characterized by presence of lymphocytes & plasma cells while neutrophils is more characteristic of acute inflammation (Pathoma Ch. 2). AFP is within reference range so probably not HCC. Choice D, palisading lymphocytes & giant cells suggests granuloma which isn't typical of hep C.
+42
2019-05-30T14:53:29Z
almondbreeze
Fa2019 pg 215, 217 on acute/chronic inflammation
+1
2020-01-28T08:58:59Z
popofo
But doesn't AFP has not-so-high sensitivity for hepatocellular carcinoma (HCC)? If so, a negative result shouldn't be able to rule out HCC?
+
2020-05-25T11:51:28Z
popofo
But doesn't AFP has not-so-high sensitivity for hepatocellular carcinoma (HCC)? If so, a negative result shouldn't be able to rule out HCC?
+
2020-05-25T11:51:30Z
submitted by docred123(6), 2019-05-29T13:58:34Z
nCa aynoen hteurrf lxianpe st!ih? I cdlou eiilteanm a few item osciehc and I uesdesg yoc,rlrect sjut eend rome fnimron!itoa Thakns