Changing epidemiology of hepatocellular carcinoma in Asia

被引:139
|
作者
Goh, George Boon-Bee [1 ,2 ]
Chang, Pik-Eu [1 ,2 ]
Tan, Chee-Kiat [1 ,2 ]
机构
[1] Singapore Gen Hosp, Dept Gastroenterol & Hepatol, Singapore, Singapore
[2] Duke NUS Grad Med Sch, Singapore, Singapore
关键词
Hepatocellular carcinoma; Hepatitis B; Hepatitis C; Aflatoxin; Non-alcoholic steatohepatitis NASH; Epidemiology; HEPATITIS-B-VIRUS; FATTY LIVER-DISEASE; POPULATION-ATTRIBUTABLE RISK; FOLLOW-UP; NONALCOHOLIC STEATOHEPATITIS; C-VIRUS; JAPANESE PATIENTS; GEOGRAPHIC VARIATIONS; INTERFERON THERAPY; AFLATOXIN EXPOSURE;
D O I
10.1016/j.bpg.2015.09.007
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hepatocellular carcinoma is a major problem in Asia because of the presence of multiple risk factors in the region such as endemicity of hepatitis B and significant contamination of foodstuff by aflatoxin in some areas. Another risk factor for HCC, chronic hepatitis C infection, in Asia is most significant in Japan, the only Asian country with more HCV than HBV-related hepatocellular carcinoma. As these risk factors can and are being modified by measures such as universal hepatitis B immunisation, successful treatment of HCV infections, reduction and improved surveillance of aflatoxin contamination of foodstuff, it is not surprising that the epidemiology of HCC in Asia is changing. All these are offset by the rising importance of NAFLD and NASH as chronic liver diseases and risk factors for HCC which contributes to the changing epidemiology of HCC in Asia. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:919 / 928
页数:10
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