Not common: Fibrolamellar hcc is not common in people in their 20's. It is very rare. It is just that in the very unusual case that a young person gets hcc it is more likely to be the fibrolamellar type. There is no known way to protect specifically against the fibrolamellar but avoiding alcohol abuse and helatitis (b;c) with vaccination if needed, safe sex, and no IV drug use is the way to prevent hcc.
Answered 8/31/2015
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Very rare: Fibrolamellar carcinoma is a very rare primary hepatic malignancy which usually occurs in the setting of a normal liver parenchyma with median age of diagnosis of 33 years, in contrast to hepatocellular carcinoma occuring in the setting of cirrhotic liver and 66 years median age of diagnosis. Resection is the treatment of choice. Risk factors for fibrolamellar carcinoma remain unidentified.
Answered 12/20/2014
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