Hcc in inactive carriers

[Nasim65]

Hi, im inactive hbv carrier. Ive read that rarely inactive hbv carrier can develop hcc. my question is inactive carrier at first must be active diseas (high level ALT) and then develop cirrohs and hcc or no they can develop hcc in inactive state with normal ALT???(Suddenly you found hcc)

[Nasim65]

Thanx for your answer stef...i know....but the answer to this question puzzled me!this is terrible whith normal Alt and negative viral load you suddenly found the hcc! Sorry for my english but do you have any info about my question??  

[Mrr49]

Inactive carrier only 3% more than uninfected

[Nasim65]

Yes

[Mrr49]

Fibroscan 5
Ultrasound normal
Hbsag 5000
Genotype Unknown
Eant-, antihbe+.

[Mrr49]

Don't understand your answer
Please confirm

[stef2011]

fibroscan, ultrasound, genotype, hbeag/hbeab and hbsag quant missing to say

[Nasim65]

In our country all of doctors only chek only ALT&AST Hbe ag, hbe ab, hbs ab every 6-12 month for inactive carrier. They dont advise fibroscan or hbv dna until our Alt is in normal range. Because they are so expensive and not free in my country. And hbs ag quant is not available in my country too.

[stef2011]

there is no hcc or cirrhosis with hbvdna und and normal alt inactive or on nucs for many years, the percentage is so low yo will dye of something else for sure

[Nasim65]

Thanx stef,thank u so much

[Mrr49]

Stef2011
My last results were
Alt 37
Hbvdna 240
Inactive I am told
66yrs old. Had at least 50yrs, no liver damage.
Do I have anything to worry about re hcc.
Thanks

[Nasim65]

Mrr49
Inactive carrier only 3% more than not infectet people in whole life are in danger(i think so if the risk of hcc in inactive carrier is 0.06% per year and 0.02% for ordinary people)

[stef2011]

you have to worry about other cancers your risk is for sure higher on breast cancer

[Nasim65]

Thanx for your answer stef...i know....but the answer to this question puzzled me!this is terrible whith normal Alt and negative viral load you suddenly found the hcc! Sorry for my english but do you have any info about my question??