Estimate of hepatocellular carcinoma's incidence in patients with alcoholic cirrhosis.

•HCC annual incidence is 2.9%, emphazising the need for its screening in alcoholic cirrhosis.•Independent risk factors for HCC are age, male gender, baseline AFP and surrogate markers of minimal liver failure.•Only 56% of the patients diagnosed with HCC underwent a curative treatment.•The main reasons not to treat were liver failure and/or impaired general status at diagnosis.•Increased use of radiological ablative therapies for patients with alcoholic cirrhosis is needed.