2.2 Assessments by the general practitioner
If HCC is suspected, general practitioner examinations and investigations should include:
- ultrasound of the liver (further imaging to be done in conjunction with specialist referral)
- assessment of tumour marker AFP
- liver function tests, full blood examination, urea and electrolytes
- investigations for underlying liver disease including viral makers, alcohol abuse, iron overload and fatty liver
- quad phase CT of the liver (if appropriate).
An abnormal result should be discussed face to face with the patient and information provided.
Tests should be conducted within two weeks of a patient presenting with symptoms.