2022
DOI: 10.3390/cancers14184473
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Changes in the Epidemiology of Hepatocellular Carcinoma in Asia

Abstract: Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide, with high morbidity and mortality, and the incidence is on the rise. HCC imposes a heavy healthcare burden on Asian countries due to the presence of multiple HCC risk factors in this area. Chronic hepatitis B virus (HBV) infection, chronic hepatitis C virus (HCV) infection, non-alcoholic liver disease (NAFLD), aflatoxin and alcohol intake are the causes of HCC that cannot be ignored. Compared with the pre-vaccination era, universal vac… Show more

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Cited by 35 publications
(19 citation statements)
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“…The prevalence of HCC varies geographically, which may be due to differences in predisposing factors that increase the risk of HCC. 14,15 significant correlation between the expression of SYT12, GATM and FN1 in patients with early onset HBV-related HCC, whereas there was a significant correlation in the expression of STAT1, ALB, MLL4 and TERT in patients with late onset HCC. 39 Additionally, HBV induces HCC formation through the activation or deactivation of various tumorigenic pathways.…”
Section: Hepatitis B Virus (Hbv)mentioning
confidence: 92%
“…The prevalence of HCC varies geographically, which may be due to differences in predisposing factors that increase the risk of HCC. 14,15 significant correlation between the expression of SYT12, GATM and FN1 in patients with early onset HBV-related HCC, whereas there was a significant correlation in the expression of STAT1, ALB, MLL4 and TERT in patients with late onset HCC. 39 Additionally, HBV induces HCC formation through the activation or deactivation of various tumorigenic pathways.…”
Section: Hepatitis B Virus (Hbv)mentioning
confidence: 92%
“…Since the 1990s, The World Health Organization (WHO) has called for the formulation of several global public plans (routine HBV vaccine injection, fast virus testing, advanced antiviral therapies) to prevent HBV infection and HBV-related disease progression (1,(20)(21)(22)(23)(24)(25). Most recently, the global HBV infection burden was assessed by Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 collaborators (1) (Figure 2).…”
Section: Epidemiology Of Chronic Hepatitis Bmentioning
confidence: 99%
“…Furthermore, a more significant decline in HBV infection prevalence was observed in younger children (<5 years) (76.8%, 95%UI: 76.2-77.5%) during the same period (1). However, HBV infection and associated diseases burden and progress across the world were markedly disparate, where the developing and poor countries predominated (1,16,21,23,26,27). HBV infection has been endemic in China since the 1980s, where the infant vaccination rate was 99.5% and the timely birth dose vaccination rate was 96% as compared with that in 1992 (28).…”
Section: Epidemiology Of Chronic Hepatitis Bmentioning
confidence: 99%
“…Starting by mentioning the most common risk factors of HCC development, such as viral hepatitis B and C and alcohol abuse, it has to be underlined that HCC is attributed ever more to non-viral factors such as non-alcoholic fatty liver disease [ 4 ].…”
Section: Introductionmentioning
confidence: 99%