PMC9478730_01
The preoperative CT images of the liver.
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Upper abdominal enhanced Computed Tomography (CT) showed HCC (number of lesions > 10), liver cirrhosis, and portal hypertension ( Figure 1 ).
The trend chart of AFP and AFP-L3 after operation.
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After 2 weeks of lenvatinib, AFP level increased to 1038 ng/ml, AFP-L3 level increased to 260.7 ng/ml, and PIVKA-II level increased slightly ( Figure 2 ). AFP and AFP-L3 continued to decrease and no rejection ( Figure 2 ). At present, two years after liver transplantation, the levels of AFP and AFP-L3 have decreased to normal level.
Treatment flow chart.
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The treatment flow chart is shown in  Figure 3 .