摘要
Dear sir-I am a liver transplant patient ... 1-16-03. Previous to the tx I had HCV, then cirrho-sis, then liver cancer (2.5cm), radiation ablationof the tumor, liver transplant, then a recurrence ofliver cancer in the tx incision (again smaller than4 cm), and removal of the tumor in the abdominalwall (incision site). The recurrence was seen 2months ago. I have had no chemotherapy, nor ra-diation therapy. Since I’ ve had a negative PET scan ... and anegative chest X-ray, I have an AFP of 614 as oftoday with ALT and AST in the 400 range. MyHCV has recurred with bile duct damage within 3months of my transplant. This makes treatmentvery difficult as treatment followup for my tx (im-munosuppressants), as you said, will encourage a