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A 16-year-old with aspirations of becoming a bodybuilder spends 3 hours a day in the gym. Five years later a hepatocellular carcinoma is discovered. Which of the following is the most likely cause of the cancer?

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Childhood cancer is rare, but it can happen. The most common types of cancer in children are leukemias, brain cancers, lymphomas, and solid tumors. The average age at diagnosis is 10 overall, 6 years old for children, and 17 years old for adolescents.

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A 16-year-old with aspirations of becoming a bodybuilder spends 3 hours a day in the gym. Five years later a hepatocellular carcinoma is discovered. Which of the following is the most likely cause of the cancer?






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