Abstract
4/2012
vol. 16
Review paper
Surveillance programs for early detection of hepatocellular carcinoma
Wspolczesna Onkol 2012; 16 (4): 295–299
[Polish version: Wspolczesna Onkol 2012; 16 (4): 300–305]
[Polish version: Wspolczesna Onkol 2012; 16 (4): 300–305]
Online publish date: 2012/09/29
Primary hepatocellular carcinoma (HCC) is the most commonly diagnosed primary malignancy of the liver. The number of new diagnosed cases of HCC seems to be on a rise worldwide. HCC is typically diagnosed in patients with underlying liver cirrhosis (> 90% cases) regardless of aetiology; over a five-year follow-up period HCC develops in 15–20% of patients with cirrhosis. Patients who are at a high risk of HCC development (i.e. individuals with liver cirrhosis, especially/or chronically infected with HBV or HCV) should undergo regular screening for HCC; the current screening standard comprises liver ultrasonography and determination ofα α-fetoprotein (AFP) concentration in blood serum at ca.
6 months’ intervals (now has been excluded from current diagnostic standards). Only such diagnostic methods are capable of detecting HCC early, and thus make it possible to treat the cancer effectively.
6 months’ intervals (now has been excluded from current diagnostic standards). Only such diagnostic methods are capable of detecting HCC early, and thus make it possible to treat the cancer effectively.
Keywords
hepatocellular carcinoma, liver cirrhosis, HBV and HCV infection, screening tests, α-fetoprotein
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