fig5
From: Hepatocellular carcinoma in alcoholic liver disease: mechanistic considerations and clinical facts
![Hepatocellular carcinoma in alcoholic liver disease: mechanistic considerations and clinical facts](https://image.oaes.cc/8b802d37-4e3b-4bce-a663-01c72f8d9231/3258.fig.5.jpg)
Figure 5. The 5-hit working hypothesis in alcoholic liver disease. The 5-hit hypothesis presents various possible steps leading from alcoholic fatty liver, eventually to hepatocellular carcinoma. In clinical practice, some patients with alcoholic hepatitis do not have steatosis/steatohepatitis as a precursor, with additional details provided in Table 4. The original figure was published in an earlier report[15]