2017
DOI: 10.3748/wjg.v23.i15.2651
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Hepatitis B virus infection and alcohol consumption

Abstract: Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer, and the second most common cause of cancer deaths worldwide. The top three causes of HCC are hepatitis B virus (HBV), hepatitis C virus (HCV), and alcoholic liver disease. Owing to recent advances in direct-acting antiviral agents, HCV can now be eradicated in almost all patients. HBV infection and alcoholic liver disease are expected, therefore, to become the leading causes of HCC in the future. However, the association between al… Show more

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Cited by 62 publications
(53 citation statements)
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“…HCC is the fifth most common malignant tumor and the second leading cause of cancer-related death worldwide [ 1 ]. HBV infection is the greatest risk factor for HCC [ 2 ]. Although enormous progress has been made in preventing HBV infection, diagnosis in the late stages of liver cancer and the highly metastatic nature of HCC are responsible for the high rate of HCC-related mortality.…”
Section: Introductionmentioning
confidence: 99%
“…HCC is the fifth most common malignant tumor and the second leading cause of cancer-related death worldwide [ 1 ]. HBV infection is the greatest risk factor for HCC [ 2 ]. Although enormous progress has been made in preventing HBV infection, diagnosis in the late stages of liver cancer and the highly metastatic nature of HCC are responsible for the high rate of HCC-related mortality.…”
Section: Introductionmentioning
confidence: 99%
“…85,112 Histological evaluation also aids in the diagnosis and assessment of liver injury in comorbid conditions. [113][114][115][116][117] Prognostic utility of histology Ballooning, MDBs, lobular polymorphs, canalicular and/or ductular cholestasis, fibrosis and megamitochondria have been described as independent predictors of short-term outcome in patients with AH. In addition, visible bile in canaliculi and/or ductular reaction also predicted bacterial infection and sepsis.…”
Section: Histological Features and Diagnosis Of Ald Typesmentioning
confidence: 99%
“…A further interesting finding emerging from our conditional regression analysis is the independent contribution of alcohol abuse to liver cancer in HCV-infected subjects. There is ample evidence that alcohol synergistically contributes to the detrimental viral insult on liver disease progression [47,48]. HCV-infected patients are already discouraged from alcohol consumption: whether this needs to be reinforced in the presence of an unfavourable genetic profile, even after resolution of HCV infection, remains to be ascertained.…”
Section: Discussionmentioning
confidence: 99%