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Singal 2 and Neehar Dilip Parikh 1 , (1)University of Michigan, (2)University of Texas Southwestern Medical Center, (3)University of Pennsylvania, (4)Baylor College of Medicine, (5)University of California San Francisco, (6)Hospital of the University of Pennsylvania Background: Hepatocellular carcinoma (HCC) is a leading cause of cancer related mortality in patients with cirrhosis