|Do I have to worry about monitoring my self for HCC(AFP Ultrasound)?
Feb 4, 2006
Hi Dr McGovern, You are an angel and this world needs more people like you. I'm a 39 years old male. I have both core and surface antibody for hep b I know that I didn't get the virus as a child because I tested negative in 1990. On a routine exam when my wife and I were planning to have a baby, 5 years ago, I test positive for HBsAg(I don't know how and when I got it. But it was after 1990). I was a chronic carrier for at least 3 years. I Serocoverted to (-) HBsAg last year to (+) HB Ab this year. I know I have recovered from the desease but Do I need monitoring for HCC? I read on some articles that people with previous infections are at higher risk of HCC than the general population.
| Response from Dr. McGovern
It is excellent news that you have cleared the virus. Yes you are at much much lower risk of hepatocellular cancer now that you have cleared.
I am not aware of any firm recommendations about how often you should be monitored now that you have cleared. I myself would probably do an ultrasound and AFP blood test about once a year for a few years until we know more about how to screen patients who were formerly chronic carriers. However, I think you are at very very low risk. Discuss monitoring with your physician as well to see what he or she thinks.
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