Abstract

Hepatocellular carcinoma (HCC), one of the most frequent tumors in the world, is included by the World Health Organization as a relevant public health problem in areas of high incidence as Africa and Southeast of Asia. In this review it will be discussed: a) the close relationship between HCC and hepatitis B virus (HBV), the more universal but not the single etiologic factor having other carcinogens and co-carcinogens involved with the origen of the tumor; b) the great variation in geographic distribution of this tumor, including that of Brazil where the incidence of HCC, including the new macroscopic classification according to the pattern of growth and general with liver cirrhosis in all countries where the tumor is diagnosed; d) some morphological aspects of HCC, including the new macroscopic classification according to the pattern of growth and general characteristics of small HCC; e) the clinical and biochemical aspects, calling attention to the evaluation of serum levels of alpha-fetoprotein, not always increased in patients with HCC, and the immage processing methods, specially ultrassonography, as methods for early diagnosis of HCC, being relevant in the follow-up of high risk patients (cirrhotics HBsAg (+]. Finally some comments are done about the therapeutic methods and perspectives of reduction in the incidence of the tumor with the use of vaccination against HBV infection.

Keywords

MedicineSorafenibLenvatinibHepatocellular carcinomaRegorafenibLiver transplantationMilan criteriaCirrhosisAsymptomaticInternal medicineCarcinomaRadiologyOncologyTransplantationSurgeryCancerColorectal cancer

MeSH Terms

AdolescentAdultAgedCarcinomaHepatocellularChildFemaleHepatitis B virusHumansLiver NeoplasmsMaleMiddle Aged

Affiliated Institutions

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Publication Info

Year
2018
Type
review
Volume
391
Issue
10127
Pages
1301-1314
Citations
5338
Access
Closed

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Cite This

Alejandro Forner, María Reig, Jordi Bruix (2018). Hepatocellular carcinoma. The Lancet , 391 (10127) , 1301-1314. https://doi.org/10.1016/s0140-6736(18)30010-2

Identifiers

DOI
10.1016/s0140-6736(18)30010-2
PMID
2855822

Data Quality

Data completeness: 86%