<prompt> Fibrolamellar Ca of liver all are false except:Common in 20 - 30 yearsCommonly associated with CirrhoticsPrognosis is poora-fetoprotein positive in 95 cases  <response>: Ref: Sabiston Textbook of Surgery, 18th ed Table 52-9Explanation:Fibrolamellar HCC FHCC is a variant of HCCThis tumor generally occurs in younger patients without a history of cirrhosis.The tumor is usually well demarcated and encapsulated and may have a central flbrotic area.The central scar can make distinguishing this tumor from FNH difficult.Histologically, FHCC is composed of large polygonal tumor cells embedded in a fibrous stroma forming lamellar structuresCHARACTERISTICHCCFHCCMale-to-female ratio2:1-8:11 : 1Median age yr5525TumorInvasiveWell circumscribedResectability2550-75Cirrhosis905a-fetoprotein positive805Hepatites B positive655 