<prompt> Patient with cirrhosis is positive HBs Ag and has increased levels of alpha feto protein. What is the most probable diagnosis -Submassive hepatic necrosisHepatocellular carcinomaMassive hepatic necrosisNone of the above  <response>: Ans. is b i.e., Hepatocellular carcinoma o Cirrhosis, hepatitis B positive and alpha fetoprotein strongly suggests hepatocellular carcinoma.Factors Associated with an Increased Risk of Developing HCCCommonUnusualCirrhosis from any causePrimary- biliary cirrhosisHepatitis B or C chronic infectionHemochromatosisEthanol chronic consumptiona1 Antitrypsin deficiencyNASHNAFLGlycogen storage diseasesAflatoxin B1 or other mycotoxinsCitrullinemiaProphyria cutanea tardaHerediatry tyrosinemiaWisons disease 