Aileen Marshall, PhD (United Kingdom)
47 year old chronic HCV, relapse after DAA treatment. Indeterminate liver lesion detected on surveillance. Increased in size on subsequent imaging to 3.7 cm and thought to be consistent with HCC. Elevated AFP. Evidence of portal hypertension therefore first treatment TAE and liver transplant assessment. TAE performed but post transplant scans lesion had grown and appeared atypical therefore biopsy performed. Histology showed mixed HCC and cholangiocarcinoma.