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Inactive HBV question
Mar 15, 2004

Dear Dr. Dieterich,

I am an inactive chronic HBV carrier (ALT normal, HBeAG negative, HBeAB positive, undetectable HBVDNA and low normal AFP) I understand that HCC still can develop in inactive HBV carrier too. What is the rate? and will it be cured if detected early. Please help me. Thanks.

Response from Dr. Dieterich

Good question! The risk is directly related to your HBV DNA Level! Therefore, your risk is quite low. Not as low as if you never had HBV, but low nonetheless. Most people are generally recommending yearly AFP and ultrasound screening. If you have a family history of HCC, then every 6 months should be fine. HCC is also becoming a very treatable and curable illness. There are many ways to treat it from resection to chemo to radiation and finally transplant. Keep up the good work and don't worry! DTD



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