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What is the best approach in treating early heptocellular carcinoma with chronic hepatitis B infection?


the patient has no sign and symptoms of liver insufficiency.
HCC diagnosed during screening --alpha feto protein levels > 1500 units..
USG shows no SOL apart from early cirrhosis.
TECE for 2 times ..both films show no SOL nor lopoidol uptake.nor undue vascularity.
After 2 TACE.. alpha feto levels now 130 units
What are the possibilities of this condition and
what are the differentials.?
other systems .. including genital system..NAD

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