1. Numerous hepatitis B carriers, all without anything to do. There are some geographical areas where there are more hepatitis B patients and more virus carriers. Subject to the limitations of knowledge, including some local community doctors are also indifferent, not clear about the dangers of hepatitis B, the virus is not checked in variable amounts, and antiviral measures are not taken. By the time a lump is found, it is often relatively late. Of course the social rejection of recruitment check for hepatitis B virus also plays a very huge harmful role. The advocates of this view ignore the harm of hepatitis B, and are obsessed with the employment rights of candidates, leaving the health problems of hepatitis B virus carriers behind. 2. The presence of liver cancer patients in the family and the fluke mentality. In our department, we basically promote the knowledge of hepatitis B and liver cancer to patients, especially during the preoperative conversation, asking about the hepatitis B status of other people in the family and requesting to be examined at the Institute of Liver Diseases. The sister of the patient mentioned above also requested the same thing, probably due to the influence of the saying “men have liver and women have lungs”, and also because she did not have regular checkups due to her avoidance of medical treatment, and at the time of surgery, the liver cancer had already spread to the left and right livers, much later than her brother (who had survived for two years without tumor). Among many patients, liver cancer can also occur in virus carriers with no hepatitis B symptoms, and these people are easy to ignore. The specimen that was surgically removed by the sister this year was relatively late. The specimen surgically removed by the younger brother two years ago. 3. Hepatitis B patients relax regular checkups and control. The two male patients mentioned above, aged 34-36, were younger and at a higher level of knowledge, and were clear about their hepatitis B and also underwent antiviral treatment. One did not understand enough about regular checkups and did not have one for 5 months, and once he was checked, it was advanced; the other one was obsessed with his career, did not avoid smoking and alcohol, and neglected regular checkups. In one case, the CT is shown in the figure below, which shows that the tumor has been diffusely distributed throughout the liver. 4. Attaching importance to anti-cancer and neglecting hepatitis B anti-virus. Our hospital is an all-army tumor center and all-army liver disease center, and the relationship between hepatitis B and liver cancer is very clear, and the related examination and treatment are also systematic. For hepatitis B patients, the hepatitis B virus quantification must be checked before surgery to prevent the virus from rebounding and affecting liver function after surgery, and the antiviral treatment is maintained according to the virus quantification check after surgery. Many people do not understand this well enough and do not maintain the patient’s antiviral therapy, which often results in uncontrolled viral multiplication, leading to recurrence of hepatocellular carcinoma after surgery, or liver failure due to dramatic viral growth. In our profession, we have to contact with these hepatitis B patients every day, including hepatitis B carriers, and the most frequently said phrase is “review regularly and don’t stop your medication at will! The most common phrase is “Regularly review your medication and don’t stop!”. If there is a hepatitis B patient in the family, the person concerned (related by blood) must be checked and excluded, and the carrier must be checked regularly, and any abnormalities must be treated promptly by a doctor. The current antiviral treatment is much more advanced than that of the late last century, and the means and effects of liver cancer treatment have been greatly improved, the key is to attach great importance to early detection and early intervention.