Abstract
A 9-year-old boy born of Chinese parents in England, and adopted by English parents at an early age, presented with primary hepatocellular carcinoma in a non-cirrhotic liver. His serum contained hepatitis B surface antigen and 'e' antibody, a probable result of perinatal infection from an HBsAg carrier mother. The management of infants at risk of perinatal hepatitis B virus transmission should now include active and passive immunisation.
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